Tyana Shaw

Individual Active
NPI 1669199642
Clinical & Laboratory Immunology (Internal Medicine) Physician Antioch, CA

Tyana Shaw is a clinical & laboratory immunology (internal medicine) physician practicing in Antioch, CA. The NPI was issued on October 20, 2022, and the record was last updated in NPPES on November 12, 2022.

Taxonomies and licenses

TaxonomyCodeLicense
Clinical & Laboratory Immunology (Internal Medicine) Physician Primary 207RI0001X 207RI0001 (CA)

Practice location

4965 Ridgeview Dr
Antioch, CA 94531-7757
Phone: (510) 703-2130

Local context

Active NPPES records list 1 provider with clinical & laboratory immunology (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 5 in California and 42 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Tyana Shaw
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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