Provider Demographics
NPI:1114901386
Name:KONEZ, ORHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ORHAN
Middle Name:
Last Name:KONEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 WARRENSVILLE CTR RD
Mailing Address - Street 2:MSC 9152
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:216-286-6299
Mailing Address - Fax:216-286-6341
Practice Address - Street 1:2700 UNIVERSITY SQUARE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5513
Practice Address - Country:US
Practice Address - Phone:813-251-5822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350803912085R0202X
ORMD276252085R0202X
FLME1601972085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000221408OtherUNISON
OH0304914OtherBCMH
OH741147OtherBUCKEYE
OHP00398027OtherRAILROAD MEDICARE
P00432456OtherRR MC
OH363716OtherWELLCARE
OR274423Medicaid
WA8488033Medicaid
OH000000503604OtherANTHEM
OH2321811Medicaid
OH7525279OtherAETNA
OR840126028OtherREGENCE BS/BC
OR274423Medicaid
OR840126028OtherREGENCE BS/BC
OH2321811Medicaid