MEDICARE: SHANG Y. RHEE, M.D. AND ASSOCIATES, INC.

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
1	208100000X	Physical Medicine & Rehabilitation Physician	483559	OH

General Provider Information

NPI Number	:	1790780849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHANG Y. RHEE, M.D. AND ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	5800 MONROE ST
Second Line	:	BLDG A
City	:	SYLVANIA
State	:	OH
Zip	:	43560-2263
Country	:	US
Telephone Number	:	419-885-8449
Fax Number	:	419-882-7621

Provider Business Practice Location Address
First Line	:	5800 MONROE ST
Second Line	:	BLDG A
City	:	SYLVANIA
State	:	OH
Zip	:	43560-2263
Country	:	US
Telephone Number	:	419-885-8449
Fax Number	:	419-882-7621

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TIMOTHY HALL SIGMAN
Credential	:	M.D.
Telephone Number	:	419-885-8449

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	02/24/2014

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