Provider Demographics
NPI:1942343975
Name:BUSCH, DAVID F (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:F
Last Name:BUSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2100 WEBSTER ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2378
Mailing Address - Country:US
Mailing Address - Phone:415-923-3883
Mailing Address - Fax:415-749-5705
Practice Address - Street 1:2100 WEBSTER ST
Practice Address - Street 2:SUITE 400
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2378
Practice Address - Country:US
Practice Address - Phone:415-923-3883
Practice Address - Fax:415-749-5705
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG019205207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
00G192050OtherMEDI-CAL PROVIDER NUMBER