Provider Demographics
NPI:1275519175
Name:BUI, HANH M (MD)
Entity Type:Individual
Prefix:DR
First Name:HANH
Middle Name:M
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:PO BOX 911070
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92191-1070
Mailing Address - Country:US
Mailing Address - Phone:760-630-2550
Mailing Address - Fax:760-726-2305
Practice Address - Street 1:906 SYCAMORE AVE STE 104
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-7839
Practice Address - Country:US
Practice Address - Phone:760-630-2550
Practice Address - Fax:760-726-2305
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79185207R00000X, 207RC0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI45263Medicare UPIN