| Gloria M Madamba Md Inc | |
|
1712 Liliha Street Suite 203 Liliha Medical Blg. Honolulu HI 96817 | |
| (808) 523-7955 | |
| (808) 536-9498 |
| Full Name | Gloria M Madamba Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1712 Liliha Street, Honolulu, Hawaii |
| Authorized Official Name and Position | Gloria M Madamba (M.D.) |
| Authorized Official Contact | 8085237955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria M Madamba Md Inc 1712 Liliha Street Suite 203 Liliha Medical Blg. Honolulu HI 96817 Ph: (808) 523-7955 | Gloria M Madamba Md Inc 1712 Liliha Street Suite 203 Liliha Medical Blg. Honolulu HI 96817 Ph: (808) 523-7955 |
| NPI Number | 1912234196 |
|---|---|
| Provider Enumeration Date | 11/10/2009 |
| Last Update Date | 03/28/2013 |
| Medicare PECOS PAC ID | 6305081068 |
|---|---|
| Medicare Enrollment ID | O20130328000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912234196 | NPI | - | NPPES |
| 0354411-01 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2605 (Hawaii) | Primary |
| Provider Name | Gloria M Madamba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649337981 PECOS PAC ID: 5092738070 Enrollment ID: I20060104000998 |
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