Bahureksa, Budi R.
Bahureksa, Budi R. is an individual health care provider with primary practice located at 7620 N La Cholla Blvd , Tucson AZ 85741-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Bahureksa, Budi R. can be contacted via phone (520) 531-0900.Contact Information
Primary practice address
7620 N La Cholla Blvd
Tucson AZ 85741-4201
Phone: (520) 531-0900
Fax: (520) 618-5611
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 3901 | Arizona |
Profile Details
NPI number | 1316942170 |
---|---|
LBN Legal business name | Bahureksa, Budi R. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2005 |
Last updated | Sep 11th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316942170 | NPPES |
Arizona | MEDICAID | 778277 |
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