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NPI Code Detail

MEDICARE: DR. TRUONG QUANG BUI M.D.

MEDICARE: DR. TRUONG QUANG BUI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine Physician35.136364OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104211556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRUONG QUANG BUI M.D.
Provider Business Mailing Address
First Line : 375 DIXMYTH AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220
Country : US
Telephone Number : 513-862-3306
Fax Number :
Provider Business Practice Location Address
First Line : 2155 DANA AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45207-1340
Country : US
Telephone Number : 513-601-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2015
Last Update Date : 04/09/2024

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