# FANG BU

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

## Provider details

- **NPI number:** 1962635193
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0213X | Pediatric Pathology Physician | 35.133826 | OH | — |
| 207ZP0213X | Pediatric Pathology Physician | 67836 | MN | Yes |
| 208000000X | Pediatrics Physician | 2009013425 | MO | — |
| 208000000X | Pediatrics Physician | 34989 | SC | — |
| 208000000X | Pediatrics Physician | 35.133826 | OH | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | MD34989 | SC | — |

## Other

- **Enumeration date:** 09/04/2009
- **Last updated:** 10/06/2020
