Individual
SAMIR GAMAL ISHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 418-7036
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01050654A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000644855
ANTHEM
IN
05
—
200490520
—
IN
05
—
200490520A
—
IN
Enumeration date
10/05/2005
Last updated
02/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us