Individual
HUAN BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-3300
Mailing address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7450
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192890
—
OH
Enumeration date
07/18/2016
Last updated
01/13/2021
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