# KANIKA PRAVIN MODY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891941449
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 249685 | NY | — |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | 25MA09537200 | NJ | Yes |

## Other

- **Enumeration date:** 08/14/2008
- **Last updated:** 01/08/2019
