Provider Demographics
NPI:1720273972
Name:THOMAS H RHEE, MD, PC
Entity Type:Organization
Organization Name:THOMAS H RHEE, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:RHEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-369-3500
Mailing Address - Street 1:8703 STONEWALL RD STE 1B
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-8325
Mailing Address - Country:US
Mailing Address - Phone:703-369-3500
Mailing Address - Fax:
Practice Address - Street 1:8703 STONEWALL RD STE 1B
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8325
Practice Address - Country:US
Practice Address - Phone:703-369-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101233915207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00049731OtherMEDICARE RR
VAC08699Medicare PIN
DCG01866Medicare PIN
VAP00049731OtherMEDICARE RR