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Dr. Bishoy T Samuel, MD
Addiction Medicine (Psychiatry & Neurology) Physician in Center City, Minnesota
NPI 1659506624

Bishoy T Samuel is an Addiction Medicine (Psychiatry & Neurology) Physician based in Center City, MN and is specialized in Addiction Medicine. Bishoy T Samuel practices in Center City, MN and has the professional credentials of MD. The NPI Number for Bishoy T Samuel is 1659506624 and holds a License No. 0101274943 (Minnesota).

The current practice location address for Bishoy T Samuel is 15251 Pleasant Valley Rd, Center City, MN and can be reached out via phone at 877-793-5205.

Location: 15251 Pleasant Valley Rd, Center City, MN, 55012-9640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659506624
Provider Name
Bishoy T Samuel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15251 Pleasant Valley Rd, Center City, MN, 55012-9640
Phone Number
877-793-5205
Fax Number
Provider Enumeration Date
05/20/2009
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
15251 Pleasant Valley Rd
City
Center City
State
Minnesota
Zip
55012-9640
Phone Number
877-793-5205
Fax Number
person
Provider Business Mailing Address Details
Address
15251 Pleasant Valley Rd
City
Center City
State
Minnesota
Zip
55012-9640
Phone Number
877-793-5205
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Addiction Medicine
Taxonomy
2083A0300X
License No.
A148818 (California)
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
34453 (Alabama)
Definition
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
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101274943 (Virginia)
Definition
Definition to come...
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