Individual provider · Type 1 NPI

Kiana Modavi

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1942035977 Active

Practice location

747 52nd St
Oakland, CA 94609-1809

Call (510) 428-3885 Map

Fax (510) 601-3913

Mailing address

1918 University Ave Ste 2B
Berkeley, CA 94704-3264

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1942035977

Kiana Modavi's National Provider Identifier is 1942035977, issued on Sep 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Sep 5, 2025.