Most Relevant Information
Provider Data
| NPI Number: | 1003683764 |
| Provider Name: | SHAHANA KHAN RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 164003128 |
Most Important Dates
| Enumeration Date: | 12/04/2023 |
| Last Updated: | 12/04/2023 |
Provider Practice Location
1415 HOBSON RD
NAPERVILLE
IL
605409428
Practice Location Phone/Fax
| Phone: | 6309266654 |
| Fax: |
Provider Mailing Location
1415 HOBSON RD
NAPERVILLE
IL
605409428
Provider Mailing Phone/Fax
| Phone: | 6309266545 |
| Fax: |