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NPI Code Detail

MEDICARE: DR. JONATHAN KWAN RHEE M.D.

MEDICARE: DR. JONATHAN KWAN RHEE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician125054438IL
2207RC0000XCardiovascular Disease Physician13343281-1205UT
3207RC0000XCardiovascular Disease Physician251336MA
4207RI0011XInterventional Cardiology Physician16596NV
5207RC0000XCardiovascular Disease PhysicianMD61514914WA

General Provider Information

NPI Number : 1689838542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN KWAN RHEE M.D.
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number : 775-356-4991
Provider Business Practice Location Address
First Line : 1300 N 500 E STE 320
Second Line :
City : LOGAN
State : UT
Zip : 84341-2462
Country : US
Telephone Number : 435-716-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2008
Last Update Date : 06/12/2025

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