OrganizationActive
Koda Plastic Surgery
NPI 1336980069 · Plastic and Reconstructive Surgery Physician · Scottsdale, AZ
Provider details
- NPI number
- 1336980069
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alicia Raghib, Practice Manager(616) 914-8894
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9097 E Desert Cove Ave Ste 100
Scottsdale, AZ 85260-6276
Phone: (616) 914-8894
Fax: (480) 701-4990
Approximate (ZIP-level) locationGet directions
Mailing address
9097 E Desert Cove Ave Ste 100
Scottsdale, AZ 85260-6276
Registry dates
- Enumerated
- 2024-06-05
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.