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

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