Provider Demographics
NPI:1548292352
Name:GHEBRE, RAHEL (MD)
Entity type:Individual
Prefix:DR
First Name:RAHEL
Middle Name:
Last Name:GHEBRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:MMC 395 UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0341
Mailing Address - Country:US
Mailing Address - Phone:612-626-3111
Mailing Address - Fax:612-626-0665
Practice Address - Street 1:516 DELAWARE ST SE
Practice Address - Street 2:UNIVERSITY OF MINNESOTA PH, PWB FIRST FLOOR, CLINIC 1C
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0356
Practice Address - Country:US
Practice Address - Phone:612-626-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN42884207V00000X, 207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0087448Medicaid
WI34003700Medicaid
MN07-00036OtherMEDICA PRIMARY
MN07-03937OtherMEDICA CHOICE
MN111436OtherUCARE
MN1024752OtherPREFERRED ONE
MN1056428OtherARAZ
IA0533703Medicaid
MN78R26GHOtherBCBS
MN908124100Medicaid
MNHP31254OtherHEALTHPARTNERS
MN07-00036OtherMEDICA PRIMARY
MN980000035Medicare ID - Type UnspecifiedMEDICARE