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KODA PLASTIC SURGERY
NPI 1336980069
Surgery - Plastic and Reconstructive Surgery in Scottsdale, AZ

Active since June 05, 2024
9097 E DESERT COVE AVE STE 100, SCOTTSDALE, AZ 85260(616) 914-8894(480) 701-4990 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Jun 5, 2024 (2 updates tracked since 2024).

About Koda Plastic Surgery NPPES

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

KODA PLASTIC SURGERY (NPI 1336980069) is a healthcare organization registered as a plastic and reconstructive surgery in Scottsdale, Arizona and active in the NPI registry since June 2024. The organization lists Alicia A Raghib, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1336980069
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameKODA PLASTIC SURGERY
Location Address9097 E DESERT COVE AVE STE 100Scottsdale, AZ 85260-6276
Mailing Address9097 E Desert Cove Ave Ste 100Scottsdale, AZ 85260-6276 · (616) 914-8894 · Fax (480) 701-4990
Phone(616) 914-8894
Fax(480) 701-4990
Organization SubpartNo
Authorized OfficialAlicia A RaghibPractice Manager · (616) 914-8894
Enumeration DateJune 5, 2024
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1336980069 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.
9097 E DESERT COVE AVE STE 100, Scottsdale, AZ 85260
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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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SUKHJIT SINGH GHUMAN
Clinic/Center
9097 E DESERT COVE AVE STE 100
SCOTTSDALE, AZ 85260
Maricopa County (408) 609-4200
ARTHRITIS HEALTH, LTD
Internal Medicine (Rheumatology)
9097 E DESERT COVE AVE STE 100
SCOTTSDALE, AZ 85260
Maricopa County (480) 609-4200
ESTELLA CHANTEL JOHANSSON MSN RN
Registered Nurse
9097 E DESERT COVE AVE STE 100
SCOTTSDALE, AZ 85260
Maricopa County (602) 418-7788
COLTON HEALTH, LLC
Clinic/Center (Medical Specialty)
9097 E DESERT COVE AVE STE 100
SCOTTSDALE, AZ 85260
Maricopa County (602) 600-8412
VITALAB PHARMACY INC
Clinic/Center (Infusion Therapy)
9097 E DESERT COVE AVE STE 100
SCOTTSDALE, AZ 85260
Maricopa County (602) 346-0204

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 Koda Plastic Surgery's NPI number?

The NPI number for Koda Plastic Surgery is 1336980069. It was assigned to this organization in the NPPES registry on June 5, 2024.

Where is Koda Plastic Surgery located?

Koda Plastic Surgery is located at 9097 E Desert Cove Ave Ste 100, Scottsdale, AZ 85260. The listed phone number is (616) 914-8894.

What is Koda Plastic 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 Koda Plastic Surgery was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.