MEDICARE: DR. JOHN W RHEE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	0101052255	VA

General Provider Information

NPI Number	:	1073572285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN W RHEE M.D.

Provider Business Mailing Address
First Line	:	1625 N GEORGE MASON DR
Second Line	:	SUITE 288
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3683
Country	:	US
Telephone Number	:	703-558-6491
Fax Number	:	703-524-4365

Provider Business Practice Location Address
First Line	:	1625 N GEORGE MASON DR
Second Line	:	SUITE 288
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3683
Country	:	US
Telephone Number	:	703-558-6491
Fax Number	:	703-524-4365

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	02/08/2021

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