Konstantin Bukov, M.D. Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A116876 Issued in CA

Legal business name

KONSTANTIN BUKOV, M.D. INC

Practice address

2299 Post St
Suite 303
San Francisco, CA 94115-3441

Phone

(415) 440-6800

Fax

(415) 586-6171

NPI assigned

Jan 7, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Konstantin Bukov, M.D.

Title

President

Phone

(415) 440-6800

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1073850392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WILLOW AVE",
            "address_2": "APT 302",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940105072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 POST ST",
            "address_2": "SUITE 303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153441",
            "telephone_number": "415-440-6800",
            "fax_number": "415-586-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONSTANTIN BUKOV, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "BUKOV",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-440-6800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A116876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Xinna Kong, MD
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• Orna Konig
• Kimberly Kono, PH.D.
• Konrad H NG, MD Inc.
• Carly Kontra
• Brandon Hyunmo Koo, MD
• Chih Ren Nicholas Koo
• Edward K Koo, LCSW
• John Y.M. Koo, MD

• Family Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.