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SHAHABAL KHAN
NPI 1487540068
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since June 17, 2025

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shahabal Khan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAHABAL KHAN (NPI 1487540068) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1487540068
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHAHABAL KHAN
Location Address1 ILLINI DRPeoria, IL 61605-2576
Mailing Address1 Illini DrPeoria, IL 61605-2576
Phone(309) 671-8409
Sole ProprietorNo
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1487540068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 ILLINI DR, Peoria, IL 61605
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY SHI
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (130) 967-1300
RICHARD HORNDASCH MD
Pediatrics (Adolescent Medicine)
1 ILLINI DR, MEDICAL SERVICE PLAN
PEORIA, IL 61605
Peoria County (309) 671-8503
ADEE ATHIYAMAN MD
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 624-9351
KRISTI UPADHYAYA
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 624-9351
LEONELA C BASTIDAS MD
Internal Medicine (Cardiovascular Disease)
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 671-3000
OLIVIA GUNTIN
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 671-3000
NIDA ALAM
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 671-3000
SYLWIA PATRYCJA BALATA
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 671-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shahabal Khan's NPI number?

The NPI number for Shahabal Khan is 1487540068. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Shahabal Khan located?

Shahabal Khan practices at 1 Illini Dr, Peoria, IL 61605. The listed phone number is (309) 671-8409.

What is Shahabal Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shahabal Khan was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.