Individual
DR. THOMAS JOSEPH BAKONDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 WATERSIDE CT, COLUMBIANA, OH 44408-9661
(330) 206-2736
Mailing address
101 WATERSIDE CT, COLUMBIANA, OH 44408-9661
(330) 206-2736
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2008-01950
NC
2085R0202X
Diagnostic Radiology Physician
Primary
21296
MS
2085R0202X
Diagnostic Radiology Physician
A102115
CA
2085R0202X
Diagnostic Radiology Physician
M8517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518158773
BLUE CROSS BLUE SHIELD
TX
05
—
203653501
—
TX
Enumeration date
08/05/2007
Last updated
05/09/2012
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