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Contact Information

BENJAMIN T GAMBOA, MD
135 S WAKEA AVE
STE 107
KAHULUI, HI96732-1385
 Phone: 808-873-0299
 Fax: 808-873-0290
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BENJAMIN T GAMBOA · (Male)

NPI Number 1861473233
Status Active
Credentials MD
Entity Individual
Enumeration date 11/10/2005
Last updated 02/20/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • HI License # HD8771
  • HI Medicaid 07457901
  • Other 201368 HMSA
  • HI Other A07457901 ALOHACARE
  • HI Other 0000201368 HMSA QUEST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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