Provider Demographics
NPI:1639340417
Name:BAMBER, SAMANTHA STREATER (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:STREATER
Last Name:BAMBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:407 ULUNIU ST FL 4
Mailing Address - Street 2:PO BOX 1266
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2544
Mailing Address - Country:US
Mailing Address - Phone:808-621-3326
Mailing Address - Fax:808-262-0514
Practice Address - Street 1:407 ULUNIU ST FL 4
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2544
Practice Address - Country:US
Practice Address - Phone:808-621-3326
Practice Address - Fax:808-626-0514
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-15135207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine