Individual provider · Type 1 NPI

Stefanos Boukovalas, MD

Plastic Surgery Physician · Knoxville, TN

NPI number 1235485137 Active

Practice location

1934 Alcoa Hwy Ste D362
Knoxville, TN 37920-1524

Mailing address

PO Box 415000-MSC8156
Nashville, TN 37241-8156

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000XBP20066599 (TX)
Plastic Surgery Physician 208200000XBP10052157 (TX)
Surgery Physician 208600000XMT202718 (PA)
Plastic Surgery Physician Primary 208200000X62868 (TN)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1235485137

Stefanos Boukovalas, MD's National Provider Identifier is 1235485137, issued on Jul 28, 2012. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Knoxville, TN. The record was last updated on Apr 11, 2022.