Individual
JOSE M MADAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1712 LILIHA ST STE 203, HONOLULU, HI 96817-3100
(808) 523-1355
(808) 537-4139
Mailing address
1712 LILIHA ST STE 203, HONOLULU, HI 96817-3100
(808) 523-1355
(808) 537-4139
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2920
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000040394
BCBS OF HAWAII (HMSA)
HI
05
—
03667301
—
HI
Enumeration date
09/12/2006
Last updated
07/09/2007
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