DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SAMIR GAMAL ISHAK MD

MEDICARE: SAMIR GAMAL ISHAK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician01050654AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000644855OTHERINANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548257488
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMIR GAMAL ISHAK MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 W VOTAW ST
Second Line :
City : PORTLAND
State : IN
Zip : 47371-1322
Country : US
Telephone Number : 260-418-7036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 02/03/2021

Similar Medicare Providers

1033115993 — JAY COUNTY HOSPITAL
Practice Location Address:
500 W VOTAW ST
PORTLAND, IN
47371-1322
Practice Phone: 260-726-7131
Practice Fax: 260-726-1975
1952383051 — BRUCE R STOFIRA CRNA
Practice Location Address:
500 W VOTAW ST
PORTLAND, IN
47371-1322
Practice Phone: 260-726-7131
Practice Fax: 260-726-1976
1558349845 — JEFFREY WILLIAM BARR MD
Practice Location Address:
500 W VOTAW ST
PORTLAND, IN
47371-1322
Practice Phone: 260-726-2993
Practice Fax: 260-726-1958
1356314579 — JAY COUNTY HOSPITAL
Practice Location Address:
500 W VOTAW ST
PORTLAND, IN
47371-1322
Practice Phone: 260-726-7131
Practice Fax: 260-726-1976
1568435337 — JAY COUNTY HOSPITAL
Practice Location Address:
500 W VOTAW ST
PORTLAND, IN
47371-1322
Practice Phone: 260-726-7131
Practice Fax: 260-726-1976
1477526242 — JAY COUNTY HOSPITAL
Practice Location Address:
500 W VOTAW ST
PORTLAND, IN
47371-1322
Practice Phone: 260-726-7131
Practice Fax: 260-726-1976

Directions to “ SAMIR GAMAL ISHAK MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.