Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koda Plastic Surgery

Organization Plastic and Reconstructive Surgery Physician · NPI 1336980069

Koda Plastic Surgery is a Plastic and Reconstructive Surgery Physician in Scottsdale, Arizona. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

9097 E Desert Cove Ave Ste 100
Scottsdale, AZ 85260-6276
Phone: (616) 914-8894
Fax: (480) 701-4990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1336980069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Raghib — Practice Manager · (616) 914-8894
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address9097 E Desert Cove Ave Ste 100, Scottsdale, AZ 85260-6276

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