Provider Demographics
NPI:1740271675
Name:BUI, NGHI H (MD)
Entity type:Individual
Prefix:DR
First Name:NGHI
Middle Name:H
Last Name:BUI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:12480 DILLINGHAM SQUARE
Mailing Address - Street 2:INOVA INTERNAL MEDICINE - LAKE RIDGE
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-5258
Mailing Address - Country:US
Mailing Address - Phone:703-494-6111
Mailing Address - Fax:703-497-0476
Practice Address - Street 1:12480 DILLINGHAM SQUARE
Practice Address - Street 2:INOVA INTERNAL MEDICINE - LAKE RIDGE
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-5258
Practice Address - Country:US
Practice Address - Phone:703-494-6111
Practice Address - Fax:703-497-0476
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2021-02-26
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Provider Licenses
StateLicense IDTaxonomies
VA0101050421207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005853206Medicaid
VAG15300Medicare UPIN
VA005853206Medicaid