Individual
SAMI ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13963 MORSE ST, CEDAR LAKE, IN 46303-9639
(219) 374-5555
(219) 374-6669
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02006863A
IN
390200000X
Student in an Organized Health Care Education/Training Program
OL60971938
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2019
Last updated
08/09/2022
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