Provider Demographics
NPI:1437407285
Name:BUI, AI-HIEN THI (DO)
Entity Type:Individual
Prefix:DR
First Name:AI-HIEN
Middle Name:THI
Last Name:BUI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AI-HIEN
Other - Middle Name:THI
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26004 104TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-7677
Mailing Address - Country:US
Mailing Address - Phone:425-251-4040
Mailing Address - Fax:206-630-4171
Practice Address - Street 1:26004 104TH AVE SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-7677
Practice Address - Country:US
Practice Address - Phone:425-251-4040
Practice Address - Fax:206-630-4171
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102205891207Q00000X
WAOP61279806207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine