Healthcare Provider Details

I. General information

NPI: 1033117742
Provider Name (Legal Business Name): WILLIAM CHOONGHEE RHEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79-1019 HAUKAPILA ST
KEALAKEKUA HI
96750-7920
US

IV. Provider business mailing address

PO BOX 1840
KAILUA KONA HI
96745-1840
US

V. Phone/Fax

Practice location:
  • Phone: 808-322-9311
  • Fax:
Mailing address:
  • Phone: 808-325-6760
  • Fax: 808-443-0159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA07551500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD12578
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: