IndividualActive
Bishoy Samuel, MD
NPI 1659506624 · Addiction Medicine (Psychiatry & Neurology) Physician · Center City, MN
Provider details
- NPI number
- 1659506624
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101274943 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
15251 Pleasant Valley Rd
Center City, MN 55012-9640
Phone: (877) 793-5205
Approximate (ZIP-level) locationGet directions
Mailing address
15251 Pleasant Valley Rd
Center City, MN 55012-9640
Registry dates
- Enumerated
- 2009-05-20
- Last updated
- 2024-06-21
- Certified
- 2024-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.