Organization
JOSE M. MADAMBA, MD., INC.
Active
Parent organization
JOSE M. MADAMBA MD., INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSE M. MADAMBA MD., INC.
Authorized official
MR. JOSE M. MADAMBA MD (PRESIDENT)
18085237955
Entity
Organization
Contact information
Practice address
1712 LILIHA STREET, SUITE 203, HONOLULU, HI 96817
(808) 523-7955
(808) 536-9498
Mailing address
1712 LILIHA STREET, SUITE 203, HONOLULU, HI 96817
(808) 523-7955
(808) 536-9498
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD-2920
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000040394
HMSA/BCBS
—
05
—
D3667301
—
HI
Enumeration date
02/12/2014
Last updated
02/12/2014
Update your record
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