Madamba, Jose M

Madamba, Jose M is an sole proprietor health care provider with primary practice located at 1712 Liliha St Ste 203 , Honolulu HI 96817-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Madamba, Jose M can be contacted via phone (808) 523-1355.

Contact Information

Primary practice address
1712 Liliha St Ste 203 Honolulu HI 96817-3100
Phone: (808) 523-1355
Fax: (808) 537-4139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2920 Hawaii

Profile Details

NPI number 1275637712
LBN Legal business name Madamba, Jose M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275637712 NPPES
Hawaii Other 0000040394 BCBS OF HAWAII (HMSA)
Hawaii MEDICAID 03667301 BCBS OF HAWAII (HMSA)

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