Doctor Name: | DR. ANTHONY SHAW |
NPI Number: | 1063439602 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G43819 |
Business Practice Address: | 14445 Olive View Dr Olive View Ucla Medical Ctr Sylmar, CA - 913421495 |
Business Phone Number: | 8183644392 |
Business Fax Number: | |
Mailing Address: | One South Orange Grove Blvd, #9 PASADENA |
State: | CA |
Postal Code: | 91105 |
Phone Number: | 6267968588 |
Fax Number: | 6267968588 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0120X |
License Number: | G43819 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Pediatric Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |