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:PO BOX 750243
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45475-0243
Mailing Address - Country:US
Mailing Address - Phone:937-709-5051
Mailing Address - Fax:937-709-5050
Practice Address - Street 1:1 WYOMING ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2722
Practice Address - Country:US
Practice Address - Phone:937-208-3118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1601972085R0202X
ORMD276252085R0202X
OH350803912085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8488033Medicaid
OHP00398027OtherRAILROAD MEDICARE
OH000000221408OtherUNISON
OH0304914OtherBCMH
OH2321811Medicaid
OH741147OtherBUCKEYE
P00432456OtherRR MC
OR274423Medicaid
OR840126028OtherREGENCE BS/BC
OH000000503604OtherANTHEM
OH363716OtherWELLCARE
OH7525279OtherAETNA
OR274423Medicaid
OR840126028OtherREGENCE BS/BC
OH2321811Medicaid