Dr. Bishoy T Samuel, MD
Dr. Bishoy T Samuel, MD is a Preventive Medicine in Center City, Minnesota. Graduated from University of South Florida College of Medicine in 2009, 17 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama, California, Minnesota and Mississippi and 1 more.
- Years since qualifying
- 17
- Trained at
- University of South Florida College of Medicine
- Licensed in
- AL, CA, MN, MS, VA
- In the registry since
- 2009
- Specialties on file
- 5
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
15251 Pleasant Valley RdCenter City, MN 55012-9640
Phone: (877) 793-5205
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Psychiatry & Neurology) Physician (primary) | Taxonomy 2084A0401X · Licence 76576 (MN) |
|---|---|
| Addiction Medicine (Preventive Medicine) Physician | Taxonomy 2083A0300X · Licence 0101274943 (VA) |
| General Practice Physician | Taxonomy 208D00000X · Licence 34453 (AL) |
| General Practice Physician | Taxonomy 208D00000X · Licence A148818 (CA) |
| General Practice Physician | Taxonomy 208D00000X · Licence T-3860 (MS) |
Record details
| NPI number | 1659506624 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 20, 2009 |
| Last updated in NPPES | June 21, 2024 |
| Certification date | June 21, 2024 |
Medicare enrollment
| Medicare specialty | PREVENTIVE MEDICINE |
|---|---|
| Also practises | ADDICTION MEDICINE, GENERAL PRACTICE |
| Medical school | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduated | 2009 (17 years in practice) |
| Group practice | Providence Medical Foundation — 1465 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |