Whalio Doctors

NPI 1235485137

Stefanos Boukovalas, MD

Practitioner Plastic Surgery Physician Knoxville, TN

Practice location

Address
1934 Alcoa Hwy STE D362, Knoxville, TN 37920-1524
Phone
(865) 305-4670
Mailing address
PO Box 415000-Msc8156, Nashville, TN 37241-8156

Registered specialties (4)

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 62868 (TN)
Plastic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence BP20066599 (TX)
Plastic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence BP10052157 (TX)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MT202718 (PA)

Registry record

NPI
1235485137
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Jul 2012
Record last updated
11 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.