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

Shoaib Khan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194390534

Shoaib Khan is a Student in an Organized Health Care Education/Training Program in Antelope, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

7901 Watt Ave
Antelope, CA 95843-2002
Phone: (209) 914-5851
Show map & directions

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 · Licence INT-44093 (CA)

Record details

NPI number1194390534
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESJuly 4, 2022
Certification dateJuly 2, 2022
Mailing address1575 W Pacheco Blvd, Los Banos, CA 93635-8505

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