# JOSEPH RYAN MADAMBA MD, INC

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

## Provider details

- **NPI number:** 1952604084
- **Authorized official:** JOSEPH RYAN MATEO MADAMBA M.D. (PRESIDENT)
- **Authorized official phone:** (808) 585-6094

## Contact information

- **Practice address:** 1712 LILIHA ST, STE. 203, HONOLULU, HI 96817-5410
- **Practice address phone:** (808) 585-6094
- **Practice address fax:** (808) 537-4139
- **Mailing address:** 1712 LILIHA ST, STE. 203, HONOLULU, HI 96817-5410
- **Mailing address phone:** (808) 585-6094
- **Mailing address fax:** (808) 537-4139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD15622 | HI | Yes |

## Other

- **Enumeration date:** 12/11/2010
- **Last updated:** 03/10/2011