# GLORIA M MADAMBA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912234196
- **Authorized official:** DR. GLORIA M MADAMBA (M.D.)
- **Authorized official phone:** (808) 523-7955

## Contact information

- **Practice address:** 1712 LILIHA STREET, SUITE 203 LILIHA MEDICAL BLG., HONOLULU, HI 96817
- **Practice address phone:** (808) 523-7955
- **Practice address fax:** (808) 536-9498
- **Mailing address:** 1712 LILIHA STREET, SUITE 203 LILIHA MEDICAL BLG., HONOLULU, HI 96817
- **Mailing address phone:** (808) 523-7955
- **Mailing address fax:** (808) 536-9498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2605 | HI | Yes |

## Other

- **Enumeration date:** 11/10/2009
- **Last updated:** 03/28/2013