Provider Demographics
NPI:1134122443
Name:RAHE, JEFFREY KENNETH (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:KENNETH
Last Name:RAHE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8899 BROOKSIDE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-7112
Mailing Address - Country:US
Mailing Address - Phone:513-481-5100
Mailing Address - Fax:513-777-5183
Practice Address - Street 1:8899 BROOKSIDE AVE STE 101
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-7112
Practice Address - Country:US
Practice Address - Phone:513-481-5100
Practice Address - Fax:513-777-5183
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.061921207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0966101Medicaid
OH288108OtherAMERIGROUP
OH31157505130OtherCARESOURCE
OH160039063OtherMEDICARE RAILROAD
OH990445OtherAETNA
OH000000021139OtherANTHEM
OH0701211OtherUNITED HEALTHCARE
IN201166550Medicaid
OHF51788Medicare UPIN
IN201166550Medicaid
OHRA0734113Medicare PIN
OHRA0734118Medicare PIN