Individual provider · Type 1 NPI

Shrishti Prakash Khetan, MD, MHA

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

NPI number 1750220117 Active

Practice location

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Call (773) 665-6730 Map

Fax (773) 665-3401

Mailing address

500 E 33rd St Apt 502
Chicago, IL 60616-4033

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 1750220117

Shrishti Prakash Khetan, MD, MHA's National Provider Identifier is 1750220117, issued on Mar 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Mar 27, 2026.