Individual
DR. GERALD IRWIN BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1356 LUSITANA ST FL 4, HONOLULU, HI 96813-2409
(808) 586-2900
(808) 586-2940
Mailing address
1356 LUSITANA ST FL 4, HONOLULU, HI 96813-2409
(808) 469-4900
(808) 536-7315
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
MD-20623
HI
2084P0800X
Psychiatry Physician
F9260
TX
2084P0800X
Psychiatry Physician
Primary
MD-20623
HI
2084P0802X
Addiction Psychiatry Physician
MD-20623
HI
2084P0804X
Child & Adolescent Psychiatry Physician
MD-20623
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10008925
AMERIGROUP
—
05
—
1316226-01
—
TX
01
—
F67V
BCBS
—
Enumeration date
06/01/2006
Last updated
01/20/2023
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