Tyana Shaw, - Internal Medicine in Antioch, CA

Tyana Shaw, is a Internal Medicine - Clinical & Laboratory Immunology physician based in Antioch, California. Tyana Shaw is licensed to practice in California (license number 207RI0001) and her current practice location is 4965 Ridgeview Dr, Antioch, California. She can be reached at her office (for appointments etc.) via phone at (510) 703-2130.

NPI number for Tyana Shaw is 1669199642 and her current mailing address is 4965 Ridgeview Dr, Antioch, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669199642.

Contact Information

Tyana Shaw,
4965 Ridgeview Dr,
Antioch, CA 94531-7757
(510) 703-2130
Not Available

Map and Direction




Physician's Profile

Full NameTyana Shaw
GenderFemale
SpecialityInternal Medicine - Clinical & Laboratory Immunology
Location4965 Ridgeview Dr, Antioch, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669199642
  • Provider Enumeration Date: 10/20/2022
  • Last Update Date: 11/12/2022

Medical Identifiers

Medical identifiers for Tyana Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669199642NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0001XInternal Medicine - Clinical & Laboratory Immunology 207RI0001 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyana Shaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tyana Shaw,
4965 Ridgeview Dr,
Antioch, CA 94531-7757

Ph: (510) 703-2130
Tyana Shaw,
4965 Ridgeview Dr,
Antioch, CA 94531-7757

Ph: (510) 703-2130

Reviews and Comments


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