KODA PLASTIC SURGERY – NPI #1336980069
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

KODA PLASTIC SURGERY is a surgeon located in SCOTTSDALE, AZ. NPPES has assigned the NPI number 1336980069 to KODA PLASTIC SURGERY on June 05, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was last updated on Jun 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KODA PLASTIC SURGERY below.

NPI Profile for
KODA PLASTIC SURGERY

NPI Number
1336980069
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KODA PLASTIC SURGERY
Primary location
9097 E DESERT COVE AVE STE 100
SCOTTSDALE, AZ 85260-6276
Phone: (616) 914-8894 Fax: (480) 701-4990
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALICIA RAGHIB
PRACTICE MANAGER
Phone: (616) 914-8894
Updated
Certification Date
Jun 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.