Provider Demographics
NPI:1700881729
Name:RHEE, ROBERT K (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:K
Last Name:RHEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2927 N MCCORD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1749
Mailing Address - Country:US
Mailing Address - Phone:419-517-5500
Mailing Address - Fax:419-517-5500
Practice Address - Street 1:2927 N MCCORD RD STE 100
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1749
Practice Address - Country:US
Practice Address - Phone:419-517-5500
Practice Address - Fax:419-517-5500
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301074018207W00000X
OH35076236207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIH06458Medicare UPIN
OHRH4028101Medicare ID - Type Unspecified
MI0N14190Medicare ID - Type Unspecified