Individual
DR. CHRISTOPHER JOHN CONDORODIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11135 MONTGOMERY RD, CINCINNATI, OH 45249-2338
(513) 793-2220
(513) 793-5933
Mailing address
11135 MONTGOMERY RD, CINCINNATI, OH 45249-2338
(513) 793-2220
(513) 793-5933
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35 093478
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132261
MEDICAID LEGACY PROVIDER NUMBER
OH
01
—
CO4270931
MEDICARE PTAN
OH
Enumeration date
06/01/2009
Last updated
03/08/2011
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