Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 35087741 | OH |
Y | 207ND0900X | Dermatopathologist | 35087741 | OH |
NPI | 1699712919 |
---|---|
Provider Name | Kord Honda |
First Address | Cleveland, OH 44106-1716 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 18/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221421 | UNISON (01) | OH |
000000523746 | ANTHEM (01) | OH |
1020792270001 | PENNSYLVANIA MEDICAID (01) | PA |
2667485 | (05) | OH |
414683 | WELLCARE (01) | OH |
744887 | BUCKEYE (01) | OH |
7663844 | AETNA (01) | OH |
P00406579 | RAILROAD MEDICARE (01) | OH |