Provider Demographics
NPI:1902066715
Name:RHEE, SANG HO (MD)
Entity Type:Individual
Prefix:DR
First Name:SANG HO
Middle Name:
Last Name:RHEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6173 FLUTIE LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1483
Mailing Address - Country:US
Mailing Address - Phone:267-972-7591
Mailing Address - Fax:
Practice Address - Street 1:5601 LOCH RAVEN BLVD BLDG SUITE307
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2945
Practice Address - Country:US
Practice Address - Phone:443-444-5711
Practice Address - Fax:301-695-4469
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT190093207V00000X
PAMD 437817207V00000X
NJ25MA08944800207VG0400X
MDD0078068207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD994LMedicare UPIN