Individual
DR. STEPHEN T KONDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2841 BOUDINOT AVE, STE 300, CINCINNATI, OH 45238-2496
(513) 389-9911
(513) 389-7854
Mailing address
PO BOX 631662, CINCINNATI, OH 45263-1662
(859) 581-7120
(859) 581-7207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.061621
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0851949
—
OH
01
—
180024728
MEDICARE RAILROAD
—
05
—
200119220
—
IN
Enumeration date
06/01/2005
Last updated
03/28/2014
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