Provider Demographics
NPI:1558310409
Name:RHEW, MIRIAM MI-HYUN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:MI-HYUN
Last Name:RHEW
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1300 BANCROFT AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-5147
Mailing Address - Country:US
Mailing Address - Phone:510-483-2600
Mailing Address - Fax:510-483-2605
Practice Address - Street 1:1300 BANCROFT AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-5147
Practice Address - Country:US
Practice Address - Phone:510-483-2600
Practice Address - Fax:510-483-2605
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA63066208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG88666Medicare UPIN