Provider Demographics
NPI:1386623973
Name:BUI, PHIET THE (MD)
Entity type:Individual
Prefix:
First Name:PHIET
Middle Name:THE
Last Name:BUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 INDIANA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5027
Mailing Address - Country:US
Mailing Address - Phone:303-940-8200
Mailing Address - Fax:303-940-8400
Practice Address - Street 1:500 W 144TH AVE STE 130
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80023-9326
Practice Address - Country:US
Practice Address - Phone:720-927-2700
Practice Address - Fax:720-927-2701
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0041671208600000X
CAA96513208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO799133OtherHEALTHLINK
MO204918601Medicaid
MO311141108Medicare PIN
MO799133OtherHEALTHLINK