Provider Demographics
NPI:1902294648
Name:RHEE, SEOUNG EUN (MD)
Entity Type:Individual
Prefix:DR
First Name:SEOUNG
Middle Name:EUN
Last Name:RHEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:883 AMERSHAM DR.
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8828
Mailing Address - Country:US
Mailing Address - Phone:314-569-2789
Mailing Address - Fax:314-569-2789
Practice Address - Street 1:883 AMERSHAM DR.
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8828
Practice Address - Country:US
Practice Address - Phone:314-569-2789
Practice Address - Fax:314-569-2789
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO34779207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine