Provider Demographics
NPI:1053377788
Name:SHAW, GAIL NAOMI (MD)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:NAOMI
Last Name:SHAW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2675 DONNER WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-3934
Mailing Address - Country:US
Mailing Address - Phone:916-457-3118
Mailing Address - Fax:916-689-8943
Practice Address - Street 1:7601 HOSPITAL DR
Practice Address - Street 2:SUITE 220
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5408
Practice Address - Country:US
Practice Address - Phone:916-689-3433
Practice Address - Fax:916-689-8943
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG56350207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE37910Medicare UPIN