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NPI Code Detail

MEDICARE: SALHA SABEEHA SHAJAHAN MD

MEDICARE:   SALHA SABEEHA  SHAJAHAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician297.011165IL

General Provider Information

NPI Number : 1982542817
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALHA SABEEHA SHAJAHAN MD
Provider Business Mailing Address
First Line : PO BOX 9727
Second Line :
City : PEORIA
State : IL
Zip : 61612-9727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 256 S SOANGETAHA RD
Second Line :
City : GALESBURG
State : IL
Zip : 61401-5586
Country : US
Telephone Number : 309-233-2836
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ SALHA SABEEHA SHAJAHAN MD” Practice Location

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