MEDICARE: STEVEN M. KORDIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	35.048323	OH
2	207P00000X	Emergency Medicine Physician	32698	KY

General Provider Information

NPI Number	:	1144386699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN M. KORDIS M.D.

Provider Business Mailing Address
First Line	:	1648 SQUIRES WOOD CT
Second Line	:
City	:	MILFORD
State	:	OH
Zip	:	45150-8785
Country	:	US
Telephone Number	:	513-680-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	1648 SQUIRES WOOD CT
Second Line	:
City	:	MILFORD
State	:	OH
Zip	:	45150-8785
Country	:	US
Telephone Number	:	513-680-3333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	02/09/2024

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