OrganizationActive
Advanced Cosmetic & Plastic Surgery
NPI 1437399250 · Specialist · Fridley, MN
Provider details
- NPI number
- 1437399250
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Fereydoon Mahjouri, Owner/Md(763) 780-2770
- License
- 23415 (MN)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 Osborne Rd Ne
Suite 130
Fridley, MN 55432-2765
Phone: (763) 780-2770
Fax: (763) 780-2812
Street-level locationGet directions
Mailing address
500 Osborne Rd Ne
Fridley, MN 55432-2765
Registry dates
- Enumerated
- 2009-03-06
- Last updated
- 2009-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.