Provider Demographics
NPI:1558820811
Name:BUI, ANH DIEM (MD)
Entity type:Individual
Prefix:
First Name:ANH
Middle Name:DIEM
Last Name:BUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1850 SULLIVAN AVE STE 540
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2215
Mailing Address - Country:US
Mailing Address - Phone:651-755-6900
Mailing Address - Fax:650-755-2107
Practice Address - Street 1:1850 SULLIVAN AVE STE 540
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2215
Practice Address - Country:US
Practice Address - Phone:650-755-6900
Practice Address - Fax:650-755-2107
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-17
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA181838207W00000X
CAPTL3125207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology