# DR. STEPHEN T KONDASH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962404186
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35.061621 | OH | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 03/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0851949 | — | OH |
| 01 | — | 180024728 | MEDICARE RAILROAD | — |
| 05 | — | 200119220 | — | IN |