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Tyana Shaw
Clinical & Laboratory Immunology (Internal Medicine) Physician in Antioch, California
NPI 1669199642

Tyana Shaw is a Clinical & Laboratory Immunology (Internal Medicine) Physician based in Antioch, CA and is specialized in Clinical & Laboratory Immunology. Tyana Shaw practices in Antioch, CA. The NPI Number for Tyana Shaw is 1669199642 and holds a License No. 207RI0001 (California).

The current practice location address for Tyana Shaw is 4965 Ridgeview Dr, Antioch, CA and can be reached out via phone at 510-703-2130.

Location: 4965 Ridgeview Dr, Antioch, CA, 94531-7757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669199642
Provider Name
Tyana Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
4965 Ridgeview Dr, Antioch, CA, 94531-7757
Phone Number
510-703-2130
Fax Number
Provider Enumeration Date
10/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4965 Ridgeview Dr
City
Antioch
State
California
Zip
94531-7757
Phone Number
510-703-2130
Fax Number
person
Provider Business Mailing Address Details
Address
4965 Ridgeview Dr
City
Antioch
State
California
Zip
94531-7757
Phone Number
510-703-2130
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Clinical & Laboratory Immunology
Taxonomy
207RI0001X
License No.
207RI0001 (California)
Definition
An internal medicine physician who specializes in clinical and laboratory immunology disease management.
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