Individual
DR. BENJAMIN TIONGSON GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 S WAKEA AVE, STE 107, KAHULUI, HI 96732-1385
(808) 873-0299
(808) 873-0290
Mailing address
135 S WAKEA AVE, STE 107, KAHULUI, HI 96732-1385
(808) 873-0299
(808) 873-0290
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
HD8771
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000201368
HMSA QUEST
HI
05
—
07457901
—
HI
01
—
201368
HMSA
—
01
—
A07457901
ALOHACARE
HI
Enumeration date
11/10/2005
Last updated
02/20/2010
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