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

Nisha Ann Roy

Individual provider Allergy Physician · NPI 1063903201

Nisha Ann Roy is an Allergy Physician in Modesto, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1923 Coffee Rd Ste 12
Modesto, CA 95355-2708
Phone: (209) 409-8454
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95008421 (CA)
Allergy Physician Taxonomy 207KA0200X · Licence NP95008421 (CA)

Record details

NPI number1063903201
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2018
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address1923 Coffee Rd Ste 12, Modesto, CA 95355-2708

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