# STEPHANIE T BUI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245461292
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | 012077 | AZ | — |
| 202K00000X | Phlebology Physician | 036.178140 | IL | — |
| 202K00000X | Phlebology Physician | CDR0006203 | CO | — |
| 202K00000X | Phlebology Physician | W2614 | TX | — |
| 2086S0129X | Vascular Surgery Physician | 012077 | AZ | — |
| 2086S0129X | Vascular Surgery Physician | 036.178140 | IL | Yes |
| 2086S0129X | Vascular Surgery Physician | 5101018212 | MI | — |
| 2086S0129X | Vascular Surgery Physician | CDR0006203 | CO | — |
| 2086S0129X | Vascular Surgery Physician | W2614 | TX | — |
| 208D00000X | General Practice Physician | 5101018212 | MI | — |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 12/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5101018212 | EDUCATIONAL LIMITED LICENSE | MI |