Provider Demographics
NPI:1831261874
Name:RHEE, HANNA (MD)
Entity type:Individual
Prefix:DR
First Name:HANNA
Middle Name:
Last Name:RHEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 HAZEL ST
Mailing Address - Street 2:
Mailing Address - City:GRIDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95948-2114
Mailing Address - Country:US
Mailing Address - Phone:714-321-1839
Mailing Address - Fax:415-952-9317
Practice Address - Street 1:912 HAZEL ST
Practice Address - Street 2:
Practice Address - City:GRIDLEY
Practice Address - State:CA
Practice Address - Zip Code:95948-2114
Practice Address - Country:US
Practice Address - Phone:714-321-1839
Practice Address - Fax:415-952-9317
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI13966208D00000X
CAA116932208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPENDINGMedicaid
CAPENDINGMedicaid