Search › Illinois › 122300000X
Shivam Malhan
NPI 1801626668 · on the registry since 2024
Practice
- Address
- 7417 N Knoxville Ave
Peoria, IL 61614 - Phone
- (309) 322-1220
- Organisation at this address
- Peoria Dental Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois