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Individual

SAMUEL V. GADAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-6060
(808) 433-3339
Mailing address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
11887
HI
2084P0800X
Psychiatry Physician
Primary
MD-11887
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000237487
HMSA BILLING NUMBER
HI
05
519027-01
HI
Enumeration date
10/23/2006
Last updated
08/09/2022
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