Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mbill Shadman Khan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649848730

Mbill Shadman Khan is a Student in an Organized Health Care Education/Training Program in Statesboro, Georgia. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1332 Southern Dr
Statesboro, GA 30460-1360
Phone: (912) 478-2674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1649848730
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 15, 2021
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021
Mailing address1326 Gale Dr, Norcross, GA 30093-1615

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