Provider Demographics
NPI:1265489868
Name:RHEE, HENRY HYUNG BACK (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:HYUNG BACK
Last Name:RHEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13890 BRADDOCK RD STE 206
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2437
Mailing Address - Country:US
Mailing Address - Phone:703-758-2664
Mailing Address - Fax:703-758-2668
Practice Address - Street 1:13890 BRADDOCK RD STE 206
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2437
Practice Address - Country:US
Practice Address - Phone:703-758-2664
Practice Address - Fax:703-758-2668
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101055674207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
F0020003OtherCAREFIRST BCBS DC/MD
0404347OtherUNITED HEALTH CARE
1273824002OtherCIGNA
7058039OtherAETNA
VA005806160Medicaid
236034OtherANTHEM NO. VA/OFFICE
2579893OtherAETNA HMO
580491OtherMAMSI
580491OtherMAMSI
0404347OtherUNITED HEALTH CARE
236034OtherANTHEM NO. VA/OFFICE
440000040Medicare Oscar/Certification