National Provider Identifier

Sam Jayanth Samuel, MD

Sam Jayanth Samuel, MD is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Olean, NY and a listed phone number of (716) 372-5601.

NPI 1184886004Olean, NYGastroenterology Physician

Profile Overview

NPI
1184886004
Provider Type
Individual
Primary Specialty
Gastroenterology Physician
Enumeration Date
July 01, 2008
Last Updated
August 13, 2025

Practice Location

  • 2223 W State St
  • Olean, NY 14760-1938

Phone: (716) 372-5601

Mailing Address

  • 8520 Stahley RD
  • East Amherst, NY 14051-1540

Specialties

  • Gastroenterology Physician (207RG0100X)
  • Gastroenterology Physician (207RG0100X)
  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1184886004
Entity Type
Individual
Last Name
Samuel
First Name
Sam
Middle Name
Jayanth
Name Prefix
Dr.
Credential
MD
Mailing Street Address
8520 Stahley RD
Mailing City
East Amherst
Mailing State
NY
Mailing ZIP Code
14051-1540
Mailing Country
US
Mailing Phone
(716) 636-5651
Practice Street Address
2223 W State St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-1938
Practice Country
US
Practice Phone
(716) 372-5601
Enumeration Date
July 01, 2008
Last Updated
August 13, 2025
Sex
Male
Sole Proprietor
No
Certification Date
August 13, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Gastroenterology Physician (207RG0100X), Gastroenterology Physician (207RG0100X), Internal Medicine Physician (207R00000X)