Healthcare Provider Details

I. General information

NPI: 1477640118
Provider Name (Legal Business Name): KAREN EUNKYOUNG RHEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 01/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SPRUCE STREET PINE 1 WEST
PHILADELPHIA PA
19107-6130
US

IV. Provider business mailing address

800 SPRUCE STREET PINE 1 WEST
PHILADELPHIA PA
19107-6130
US

V. Phone/Fax

Practice location:
  • Phone: 215-829-7817
  • Fax: 401-729-2544
Mailing address:
  • Phone: 215-829-7817
  • Fax: 401-729-2544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD444231
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberLP00758
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: