Healthcare Provider Details

I. General information

NPI: 1649464280
Provider Name (Legal Business Name): CHANHAENG RHEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2007
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S BERETANIA ST STE 202
HONOLULU HI
96813-2496
US

IV. Provider business mailing address

550 S BERETANIA ST STE 202
HONOLULU HI
96813-2496
US

V. Phone/Fax

Practice location:
  • Phone: 808-691-8526
  • Fax: 808-691-5313
Mailing address:
  • Phone: 808-691-8526
  • Fax: 808-691-5313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberM7566
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD56764
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD-23396
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: