Provider Demographics
NPI:1972810638
Name:AMBERT-POMPEY, SARAI (MD)
Entity Type:Individual
Prefix:MRS
First Name:SARAI
Middle Name:
Last Name:AMBERT-POMPEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:SARAI
Other - Middle Name:
Other - Last Name:AMBERT RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:500 W FORT ST
Mailing Address - Street 2:111R
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-4501
Mailing Address - Country:US
Mailing Address - Phone:208-695-0195
Mailing Address - Fax:
Practice Address - Street 1:500 W FORT ST
Practice Address - Street 2:111R
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-4501
Practice Address - Country:US
Practice Address - Phone:208-695-0195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORFE1530442084N0400X
IDMR1264207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology