Provider Demographics
NPI:1336218510
Name:RHEE, CHOO Y (MD)
Entity Type:Individual
Prefix:MR
First Name:CHOO
Middle Name:Y
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 1:1492 E BROAD STREET
Mailing Address - Street 2:SUITE 1604
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205
Mailing Address - Country:US
Mailing Address - Phone:614-253-7248
Mailing Address - Fax:614-253-7254
Practice Address - Street 1:1492 E BROAD STREET
Practice Address - Street 2:SUITE 1604
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205
Practice Address - Country:US
Practice Address - Phone:614-253-7248
Practice Address - Fax:614-253-7254
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH42716207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0372887Medicaid
B95424Medicare UPIN
OH0372887Medicaid