Healthcare Provider Details

I. General information

NPI: 1790952216
Provider Name (Legal Business Name): SILVIA YUNGHEE RHO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 03/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 GROVE RD GREENVILLE HOSPITAL SYSTEM, 4TH FLOOR BALCONY SUITE
GREENVILLE SC
29605-5611
US

IV. Provider business mailing address

1 INDEPENDENCE PT SUITE 212
GREENVILLE SC
29615-4545
US

V. Phone/Fax

Practice location:
  • Phone: 864-455-5251
  • Fax:
Mailing address:
  • Phone: 864-797-6400
  • Fax: 864-797-6198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2010-00639
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0072053
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD72053
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number2010-00639
License Number StateNC
# 5
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMMD.34541
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: