Shaw, Tara A.

Shaw, Tara A. is an individual health care provider with primary practice located at 275 W Macarthur Blvd , Oakland CA 94611-5641. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Shaw, Tara A. can be contacted via phone (510) 752-1000.

Contact Information

Primary practice address
275 W Macarthur Blvd Oakland CA 94611-5641
Phone: (510) 752-1000
Fax: (707) 651-2743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-113299 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X A80836 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A80836 California

Profile Details

NPI number 1538194675
LBN Legal business name Shaw, Tara A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Dec 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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