# DR. BISHOY T SAMUEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659506624
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | 0101274943 | VA | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 76576 | MN | Yes |
| 208D00000X | General Practice Physician | 34453 | AL | — |
| 208D00000X | General Practice Physician | A148818 | CA | — |
| 208D00000X | General Practice Physician | T-3860 | MS | — |

## Other

- **Enumeration date:** 05/20/2009
- **Last updated:** 06/21/2024