Healthcare Provider Details

I. General information

NPI: 1780845347
Provider Name (Legal Business Name): ANJUM BUX, M.D., P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 W MAIN ST STE 101
DANVILLE KY
40422-1872
US

IV. Provider business mailing address

PO BOX 27833
BELFAST ME
04915-2030
US

V. Phone/Fax

Practice location:
  • Phone: 859-209-2423
  • Fax:
Mailing address:
  • Phone: 502-907-0356
  • Fax: 502-919-9780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number3004763
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number3012047
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number3001715
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License Number1132001
License Number StateKY
# 7
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number36837
License Number StateKY
# 8
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number36837
License Number StateKY

VIII. Authorized Official

Name: ANJUM BUX
Title or Position: PRESIDENT
Credential: M.D.
Phone: 859-550-2030