Samir Gamal Ishak, MD
Samir Gamal Ishak, MD is a Psychiatry in Portland, Indiana. Qualified in 1983, 43 years ago. Practices with Northeastern Center Inc, a 24-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 43
- Licensed in
- IN
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
500 W Votaw StPortland, IN 47371-1322
Phone: (260) 418-7036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 01050654A (IN) |
|---|
Record details
| NPI number | 1548257488 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | October 5, 2005 |
| Last updated in NPPES | February 3, 2021 |
| Certification date | February 3, 2021 |
| Mailing address | 250 N Shadeland Ave, Indianapolis, IN 46219-4959 |
Medicare enrollment
| Medicare specialty | PSYCHIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 1983 (43 years in practice) |
| Group practice | Northeastern Center Inc — 24 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Portland
-
Good Samaritan Mental Health Association LLC
500 W Votaw St, Portland, IN 47371-1322 · (260) 418-7036