Provider Demographics
NPI:1023212628
Name:BUI, ANNE THU-ANH (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:THU-ANH
Last Name:BUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 3RD AVE S APT 803
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-6780
Mailing Address - Country:US
Mailing Address - Phone:409-354-1961
Mailing Address - Fax:
Practice Address - Street 1:50 3RD AVE S APT 803
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-6780
Practice Address - Country:US
Practice Address - Phone:409-354-1961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-0022276207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2775835246OtherMYUTMB 2775835246-COMMERCIAL NUMBER