Ayaz Samandani MD SC
Organization Active NPI Family Medicine Physician · Beaver Dam, WI
NPI 1205248804 · NPPES record last updated May 30, 2014
Key facts
- NPI
- 1205248804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AYAZ SAMANDANI MD SC
- Practice address
- 215 Corporate Dr
Suite H
Beaver Dam, WI 53916-3123 - Phone
- (920) 887-7731
- Fax
- (920) 887-3201
- NPI assigned
- May 30, 2014
- Organization subpart
- No
Authorized official
- Name
- Ayaz M Samadani, MD
- Title
- MD/Owner
- Phone
- (920) 887-7731
Practitioners 1
-
Ayaz M Samadani, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
215 Corporate Dr
Suite H
Beaver Dam, WI 53916-3123
Mailing address
215 Corporate Dr
Suite H
Beaver Dam, WI 53916-3123
Phone (920) 887-7731
Other providers in Beaver Dam, WI
- Callie Aulik
- Aurora Pharmacy Inc
- Autism Center of Wisconsin LLC
- Avada Hearing Care
- Ayaz M. Samadani, MD, SC
- Heidi Bailey
- Blair Adam Baillio
- Ashley Bangen
- Jessica A Barczak
- Mae Barredo
All providers in Beaver Dam, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.