Provider Demographics
NPI:1255969036
Name:ALEXANDER, SAMUEL (DO)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:SAMMY
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:120 KAIULANI AVE STE KW12
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-6203
Mailing Address - Country:US
Mailing Address - Phone:808-378-3665
Mailing Address - Fax:808-649-2488
Practice Address - Street 1:120 KAIULANI AVE STE KW12
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-6203
Practice Address - Country:US
Practice Address - Phone:808-378-3665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-29
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS-25612084P0800X
HIDOSR-5422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry