Provider Demographics
NPI:1134122443
Name:RAHE, JEFFREY K (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:K
Last Name:RAHE
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 1:2060 READING RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1454
Mailing Address - Country:US
Mailing Address - Phone:513-721-3200
Mailing Address - Fax:513-639-3186
Practice Address - Street 1:3301 MERCY HEALTH BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-1104
Practice Address - Country:US
Practice Address - Phone:513-481-5100
Practice Address - Fax:513-481-3880
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35061921R207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000021139OtherANTHEM
OH0966101Medicaid
IN201166550Medicaid
OH990445OtherAETNA
OH0701211OtherUNITED HEALTHCARE
OH31157505130OtherCARESOURCE
OH160039063OtherMEDICARE RAILROAD
OH288108OtherAMERIGROUP
OHF51788Medicare UPIN
IN201166550Medicaid
OHRA0734113Medicare PIN
OHRA0734118Medicare PIN