National Provider Identifier Database

BISHOY T SAMUEL, MD – NPI #1659506624
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

BISHOY T SAMUEL, MD
15251 PLEASANT VALLEY RD
CENTER CITY, MN55012-9640
Phone: 877-793-5205
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X
Addiction Medicine 2083A0300X
General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for BISHOY T SAMUEL

NPI Number 1659506624
Credentials MD
Entity Individual
Enumeration date 05/20/2009
Last updated 06/21/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • AL License #: 34453
  • CA License #: A148818
  • MN License #: 76576
  • MS License #: T-3860
  • VA License #: 0101274943
Hospital affiliation n/a

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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