Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khushbu Modi

Individual provider Certified Registered Nurse Anesthetist · NPI 1083166383

Khushbu Modi is a Certified Registered Nurse Anesthetist (CRNA) in Canton, Georgia. Qualified in 2016, 10 years ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016

Practice location Address checks out

276 Harmony Lake Dr
Canton, GA 30115-4781
Phone: (404) 488-5590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN202188 (GA)

Record details

NPI number1083166383
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2016
Last updated in NPPESNovember 3, 2016
Mailing address276 Harmony Lake Dr, Canton, GA 30115-4781

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated

Other providers in Canton