KISHAN MODESSA
NPI 1972174811
Student in an Organized Health Care Education/Training Program in Allentown, PA

Q: What is Kishan Modessa's NPI number?

The NPI number for Kishan Modessa is 1972174811. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Q: What is Kishan Modessa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kishan Modessa was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 01, 2021

4123 EMERSON LN, ALLENTOWN, PA 18104(484) 868-8977 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kishan Modessa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KISHAN MODESSA (NPI 1972174811) is an individual student in an organized health care education/training program in Allentown, Pennsylvania and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1972174811

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKISHAN MODESSA

Location Address4123 EMERSON LNAllentown, PA 18104-3448

Mailing Address4123 Emerson LnAllentown, PA 18104-3448 · (484) 868-8977

Phone(484) 868-8977

Sole ProprietorYes

Enumeration DateJuly 1, 2021

NPPES CertifiedJuly 1, 2021

✔ NPI 1972174811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

4123 EMERSON LN, Allentown, PA 18104

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kishan Modessa's NPI number?

The NPI number for Kishan Modessa is 1972174811. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Kishan Modessa located?

Kishan Modessa practices at 4123 Emerson Ln, Allentown, PA 18104. The listed phone number is (484) 868-8977.

What is Kishan Modessa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kishan Modessa was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.