KOVANDA AESTHETIC SURGERY
NPI 1295344810
Surgery - Plastic and Reconstructive Surgery in Minneapolis, MN

Active since July 29, 2020
3033 EXCELSIOR BLVD STE 300, MINNEAPOLIS, MN 55416(612) 979-2093 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2020, Jul 29, 2020 (2 updates tracked since 2020).

About Kovanda Aesthetic Surgery NPPES

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

KOVANDA AESTHETIC SURGERY (NPI 1295344810) is a healthcare organization registered as a plastic and reconstructive surgery in Minneapolis, Minnesota and active in the NPI registry since July 2020. The organization lists Christopher John Kovanda, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1295344810
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameKOVANDA AESTHETIC SURGERY
Location Address3033 EXCELSIOR BLVD STE 300Minneapolis, MN 55416-4675
Mailing Address3033 Excelsior Blvd Ste 300Minneapolis, MN 55416-4675
Organization SubpartNo
Authorized OfficialChristopher John KovandaSole Member · (129) 792-0936
Enumeration DateJuly 29, 2020
Last NPPES UpdateDecember 30, 20202 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
NPI 1295344810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
3033 EXCELSIOR BLVD STE 300, Minneapolis, MN 55416

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kovanda Aesthetic Surgery's NPI number?

The NPI number for Kovanda Aesthetic Surgery is 1295344810. It was assigned to this organization in the NPPES registry on July 29, 2020.

Where is Kovanda Aesthetic Surgery located?

Kovanda Aesthetic Surgery is located at 3033 Excelsior Blvd Ste 300, Minneapolis, MN 55416. The listed phone number is (612) 979-2093.

What is Kovanda Aesthetic Surgery's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Kovanda Aesthetic Surgery was last updated on December 30, 2020. 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.