Search › California › 101YA0400X
Kyalai Shaw, SUDRC
NPI 1386312783 · on the registry since 2021
Practice
- Address
- 3845 Telegraph Ave
Oakland, CA 94609 - Phone
- (510) 450-1197
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California