Provider Demographics
NPI:1528081676
Name:BUI, CAMELIA N (MD)
Entity type:Individual
Prefix:
First Name:CAMELIA
Middle Name:N
Last Name:BUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5511 E BAYAUD AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1117
Mailing Address - Country:US
Mailing Address - Phone:303-333-8723
Mailing Address - Fax:303-333-7038
Practice Address - Street 1:5511 E BAYAUD AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1117
Practice Address - Country:US
Practice Address - Phone:303-333-8723
Practice Address - Fax:303-333-7038
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37693207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO20700342Medicaid
COG97256Medicare UPIN