Samir Gamal Ishak in Portland - Psychiatry
Samir Gamal Ishak - NPI 1548257488
Samir Gamal Ishak is a Psychiatry in Portland, Indiana. Samir Gamal Ishak practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Samir Gamal Ishak is 1548257488. The last update date is 2021-02-03.
Samir Gamal Ishak's current location address is 500 W Votaw St, Portland, Indiana. You can contact this provider via phone number 2604187036. The mailing address for Samir Gamal Ishak is 500 W Votaw St, Portland, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samir Gamal Ishak |
|---|---|
| Address | 500 W Votaw St, Portland, Indiana |
| Phone Number | 2604187036 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1548257488 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2021-02-03 |
Provider Mailing Address Detail
| Address | 500 W Votaw St |
|---|---|
| City | Portland |
| State | Indiana (IN) |
| Post Code | 473711322 |
| Phone Number | 2604187036 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 01050654A |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200490520 | IN | -- | |
| 644855 | IN | ANTHEM | |
| 200490520A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Samir Gamal Ishak by the Centers for Medicare & Medicaid Services (CMS)?
The Samir Gamal Ishak has been assigned the NPI (National Provider Identifier) 1548257488. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Samir Gamal Ishak is physically located?
The Samir Gamal Ishak is situated at the following address: 500 W Votaw St, Portland, IN 473711322.
What is the area of specialization for Samir Gamal Ishak, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Samir Gamal Ishak is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548257488 to Samir Gamal Ishak?
The Samir Gamal Ishak received its 1548257488 assignment from the Centers for Medicare & Medicaid Services on 2005-10-05.
As of what date were the Samir Gamal Ishak's details last updated?
The information pertaining to the Samir Gamal Ishak, including its address, specialty, and other details, was most recently updated on 2021-02-03.