Individual
MARK K BUYYOUNOUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
1804 EMBARCADERO RD, SUITE 100, PALO ALTO, CA 94303-3341
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD4211507
PA
2085R0001X
Radiation Oncology Physician
Primary
C55796
CA
2085R0001X
Radiation Oncology Physician
MD421507
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013293250001
—
PA
Enumeration date
07/20/2006
Last updated
04/01/2016
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