1518965888 NPI number — MARIA RHEE MD

Table of content: MARIA RHEE MD (NPI 1518965888)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518965888 NPI number — MARIA RHEE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RHEE
Provider First Name:
MARIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518965888
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/05/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9 WASHINGTON AVE.
Provider Second Line Business Mailing Address:
GARDEN LEVEL
Provider Business Mailing Address City Name:
HAMDEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06518
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-248-7433
Provider Business Mailing Address Fax Number:
203-287-9904

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9 WASHINGTON AVE,
Provider Second Line Business Practice Location Address:
GARDEN LEVEL
Provider Business Practice Location Address City Name:
HAMDEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-248-7433
Provider Business Practice Location Address Fax Number:
203-287-9904
Provider Enumeration Date:
07/12/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  039146 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010039146CT01 . This is a "ANTHEM BLUE CROSS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 9736814-002 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 07-41253 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2540291 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0G2649 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 001391466 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0391467129 . This is a "CONNECTICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 160051337 . This is a "MEDICARE RAILROAD" identifier . This identifiers is of the category "OTHER".
  • Identifier: D2472446 . This is a "OXFORD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: H26890 . This is a "UPIN" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com