Basic Information
| Provider Information | |||||||||
| NPI: | 1114901386 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KONEZ | ||||||||
| FirstName: | ORHAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3605 WARRENSVILLE CTR RD | ||||||||
| Address2: | MSC 9152 | ||||||||
| City: | SHAKER HTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2162866299 | ||||||||
| FaxNumber: | 2162866341 | ||||||||
| Practice Location | |||||||||
| Address1: | 11100 EUCLID AVENUE | ||||||||
| Address2: | |||||||||
| City: | CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2168441700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/01/2005 | ||||||||
| LastUpdateDate: | 05/23/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 35080391 | OH | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | MD27625 | OR | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | P00432456 | 01 | RR MC | OTHER | 000000221408 | 01 | OH | UNISON | OTHER | 000000503604 | 01 | OH | ANTHEM | OTHER | 840126028 | 01 | OR | REGENCE BS/BC | OTHER | 8488033 | 05 | WA | MEDICAID | 0304914 | 01 | OH | BCMH | OTHER | 2321811 | 05 | OH | MEDICAID | 274423 | 05 | OR | MEDICAID | 741147 | 01 | OH | BUCKEYE | OTHER | P00398027 | 01 | OH | RAILROAD MEDICARE | OTHER | 363716 | 01 | OH | WELLCARE | OTHER | 7525279 | 01 | OH | AETNA | OTHER |