Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 42884 | MN |
Y | 207VX0201X | Gynecologic Oncologist | 42884 | MN |
NPI | 1548292352 |
---|---|
Provider Name | Dr. Rahel Ghebre |
First Address | Minneapolis, MN 55455-0341 |
Second Address | Minneapolis, MN 55455-0356 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 25/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0087448 | (05) | MT |
0533703 | (05) | IA |
07-00036 | MEDICA PRIMARY (01) | MN |
07-03937 | MEDICA CHOICE (01) | MN |
1024752 | PREFERRED ONE (01) | MN |
1056428 | ARAZ (01) | MN |
111436 | UCARE (01) | MN |
34003700 | (05) | WI |
78R26GH | BCBS (01) | MN |
908124100 | (05) | MN |
H27102 | (02) | MN |
HP31254 | HEALTHPARTNERS (01) | MN |