Healthcare Provider Details

I. General information

NPI: 1033341730
Provider Name (Legal Business Name): MICHELLE S RHEE M D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2009
Last Update Date: 05/08/2024
Certification Date: 05/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E ST NW SA-1 SUITE L209
WASHINGTON DC
20522-3518
US

IV. Provider business mailing address

2401 E ST NW SA-1, SUITE L209
WASHINGTON DC
20522-0001
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-8000
  • Fax:
Mailing address:
  • Phone: 415-420-9946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA102980
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD500003081
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: