Provider Demographics
NPI:1891784138
Name:RHEE, PAUL H (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:H
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 1:12274 WOODMONT DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3782
Mailing Address - Country:US
Mailing Address - Phone:602-999-7310
Mailing Address - Fax:
Practice Address - Street 1:2352 MEADOWS BLVD.
Practice Address - Street 2:SUITE 290
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109
Practice Address - Country:US
Practice Address - Phone:303-268-2222
Practice Address - Fax:303-268-2223
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28432174400000X
CO37325174400000X
WAMD60287429208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ6683Medicare ID - Type Unspecified
AZH27137Medicare UPIN