Individual
JOHN BORA TEZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9825 KENWOOD RD STE 105, BLUE ASH, OH 45242-6252
(513) 872-4500
Mailing address
9825 KENWOOD RD STE 105, BLUE ASH, OH 45242-6252
(513) 872-4500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.131885
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260098
—
OH
01
—
H241130
OH MEDICARE
OH
Enumeration date
04/18/2011
Last updated
03/17/2018
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