Individual
KATHERINE S BUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4337
(301) 662-8119
(301) 696-0985
Mailing address
300 W 9TH ST, FREDERICK, MD 21701-4541
(301) 662-8119
(301) 696-0985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D54705
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0054705
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407838402
MEDICAID NPI
MD
05
—
283003500
—
MD
01
—
290012174
MEDICARE RAILROAD
MD
Enumeration date
11/16/2005
Last updated
04/30/2019
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