Khushbu Modi

NPI #1083166383 in Canton, Georgia

Provider Information

NPI Number
1083166383
Entity Type
Individual
Name
Khushbu Modi
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Nov 3, 2016
Last Updated
Nov 3, 2016

Practice Location

Address
276 HARMONY LAKE DR
City
Canton
State
Georgia
ZIP Code
30115-4781
Phone
(404) 488-5590

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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