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Contact Information

SAMUEL I SAMUEL, MD
1519 CONSTITUTION BLVD APT 201
SALINAS, CA93906-3150
 Phone: 865-765-8224
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Adolescent and Children Mental Health

261QM0855X
 

Brain Injury Medicine

2081P0301X 25 Physician/Physical Medicine and Rehabilitation
 

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SAMUEL I SAMUEL · (Male)

NPI # 1992833099
Status Active
Credentials MD
Entity Individual
Enumeration date 03/01/2007
Last updated 01/20/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 165035
  • GA License # 56360
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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