Gloria M Madamba MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2605 Issued in HI

Legal business name

GLORIA M MADAMBA MD INC

Practice address

1712 Liliha Street
Suite 203 Liliha Medical BLG.
Honolulu, HI 96817

Phone

(808) 523-7955

Fax

(808) 536-9498

NPI assigned

Nov 10, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gloria M MadambaNPI 1649337981

Title

M.D.

Phone

(808) 523-7955

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria M Madamba, MD

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1649337981
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1912234196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LILIHA STREET",
            "address_2": "SUITE 203 LILIHA MEDICAL BLG.",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-523-7955",
            "fax_number": "808-536-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA STREET",
            "address_2": "SUITE 203 LILIHA MEDICAL BLG.",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-523-7955",
            "fax_number": "808-536-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA M MADAMBA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "MADAMBA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "808-523-7955",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "2605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0354411-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn P K Akiona LLC
• Glenn S. Yonemura, MD Inc
• Leila Rae Glenn
• Jason C Glipa, M.D.
• Kiera Destiny Glodowski
• Lori Glorioso, RN, IBCLC
• Glowing Care Inc
• Sikhota Ante Gnouilaphi
• Brandon Yoshikazu Go, PHARMD
• John Raymond Uy Go, M.D.

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.