# THANH K BUI MD CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528131059
- **Authorized official:** DR. THANH KHAC BUI MD (PRESIDENT)
- **Authorized official phone:** (510) 444-0533

## Contact information

- **Practice address:** 650 INTERNATIONAL BLVD, STE B, OAKLAND, CA 94606-2912
- **Practice address phone:** (510) 444-0533
- **Practice address fax:** (510) 444-0534
- **Mailing address:** 650 INTERNATIONAL BLVD, STE B, OAKLAND, CA 94606-2912
- **Mailing address phone:** (510) 444-0533
- **Mailing address fax:** (510) 444-0534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C043130 | CA | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00C43I300 | — | CA |