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Organization
THANH K BUI MD CORPORATION
Active
Organization
THANH K BUI MD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH KHAC BUI MD (PRESIDENT)
(510) 444-0533
Entity
Organization
Contact information
Practice address
650 INTERNATIONAL BLVD, STE B, OAKLAND, CA 94606-2912
(510) 444-0533
(510) 444-0534
Mailing address
650 INTERNATIONAL BLVD, STE B, OAKLAND, CA 94606-2912
(510) 444-0533
(510) 444-0534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C043130
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C43I300
—
CA
Enumeration date
11/15/2006
Last updated
08/22/2020
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