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

Shahabal Khan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487540068

Shahabal Khan is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1 Illini Dr
Peoria, IL 61605-2576
Phone: (309) 671-8409
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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 number1487540068
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address1 Illini Dr, Peoria, IL 61605-2576

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