| Glenda V. Malana, M.d. Llc | |
|
91-2139 Fort Weaver Rd Ste 302 Ewa Beach HI 96706-3609 | |
| (808) 678-0045 | |
| (808) 678-0048 |
| Full Name | Glenda V. Malana, M.d. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 91-2139 Fort Weaver Rd Ste 302, Ewa Beach, Hawaii |
| Authorized Official Name and Position | Glenda Malana (OWNER) |
| Authorized Official Contact | 8086780045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenda V. Malana, M.d. Llc 91-2139 Fort Weaver Rd Ste 302 Ewa Beach HI 96706-3609 Ph: (808) 678-0045 | Glenda V. Malana, M.d. Llc 91-2139 Fort Weaver Rd Ste 302 Ewa Beach HI 96706-3609 Ph: (808) 678-0045 |
| NPI Number | 1629257498 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 10/30/2007 |
| Medicare PECOS PAC ID | 7517055791 |
|---|---|
| Medicare Enrollment ID | O20071126000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629257498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | MD-9620 (Hawaii) | Primary |
| Provider Name | Glenda V Malana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639103070 PECOS PAC ID: 4587768692 Enrollment ID: I20070329000491 |
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