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Contact Information

BISHOY T SAMUEL, MD
15251 PLEASANT VALLEY RD
CENTER CITY, MN55012-9640
 Phone: 877-793-5205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for BISHOY T SAMUEL · (Male)

NPI Number 1659506624
Status Active
Credentials MD
Entity Individual
Enumeration date 05/20/2009
Last updated 06/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 34453
  • CA License # A148818
  • MN License # 76576
  • MS License # T-3860
  • VA License # 0101274943
Hospital affiliation(s) Not Available
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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