Bu, Fang

Bu, Fang is an individual health care provider with primary practice located at 2525 Chicago Ave , Minneapolis MN 55404-4518. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pathology, Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Pathology is her primary health care specialty. Bu, Fang can be contacted via phone (612) 813-6711.

Contact Information

Primary practice address
2525 Chicago Ave Minneapolis MN 55404-4518
Phone: (612) 813-6711
Fax: (612) 813-7721
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X 35.133826 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.133826 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34989 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2009013425 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MD34989 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X 67836 Minnesota

Profile Details

NPI number 1962635193
LBN Legal business name Bu, Fang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2009
Last updated Oct 6th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962635193 NPPES
Ohio MEDICAID 0286662

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