Individual provider · Type 1 NPI

Salsapela Hiytham Shaban, MD

Student in an Organized Health Care Education/Training Program · O Fallon, IL

NPI number 1063351872 Active

Practice location

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284

Call (618) 233-5480 Map

Fax (184) 445-8791

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1063351872

Salsapela Hiytham Shaban, MD's National Provider Identifier is 1063351872, issued on Mar 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in O Fallon, IL. The record was last updated on Mar 30, 2026.