Provider Demographics
NPI:1659319762
Name:RHEE, HARRISON KUHN (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRISON
Middle Name:KUHN
Last Name:RHEE
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:PO BOX 36488
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28236-6488
Mailing Address - Country:US
Mailing Address - Phone:704-248-3400
Mailing Address - Fax:704-337-8387
Practice Address - Street 1:1085 NE GATEWAY CT
Practice Address - Street 2:SUITE 180
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2440
Practice Address - Country:US
Practice Address - Phone:704-707-2200
Practice Address - Fax:704-707-2203
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5902668Medicaid
NC141CGOtherBCBS NC INDI PROVIDER #
NCP00280719OtherRAILROAD MCR PROV #
NC807016OtherPARTNERS PROVIDER #
NC141CGOtherBCBS NC INDI PROVIDER #
NC2043287CMedicare PIN
NC2043287Medicare ID - Type Unspecified