Individual
KORD HONDA
Active
Individual
KORD HONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35087741
OH
207ND0900X
Dermatopathology Physician
Primary
35087741
OH
207ZD0900X
Dermatopathology (Pathology) Physician
MD00040145
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221421
UNISON
OH
01
—
000000523746
ANTHEM
OH
01
—
1020792270001
PENNSYLVANIA MEDICAID
PA
05
—
2667485
—
OH
01
—
414683
WELLCARE
OH
01
—
744887
BUCKEYE
OH
01
—
7663844
AETNA
OH
01
—
P00406579
RAILROAD MEDICARE
OH
Enumeration date
06/02/2006
Last updated
12/18/2020
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