AYAZ M. SAMADANI, MD, SC
NPI 1396985636
Clinic/Center in Beaver Dam, WI

Active since February 26, 2009
215 CORPORATE DR, SUITE H, BEAVER DAM, WI 53916(920) 887-7731 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ayaz M. Samadani, Md, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AYAZ M. SAMADANI, MD, SC (NPI 1396985636) is a healthcare organization registered as a clinic/center in Beaver Dam, Wisconsin and active in the NPI registry since February 2009. The organization lists Ayaz M Samadani, Owner, as its authorized official.

NPPES Registry Identity

NPI1396985636
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAYAZ M. SAMADANI, MD, SC
Location Address215 CORPORATE DR, SUITE HBeaver Dam, WI 53916-3123
Mailing Address215 Corporate Dr, Suite HBeaver Dam, WI 53916-3123 · (920) 887-7731
Organization SubpartNo
Authorized OfficialAyaz M SamadaniOwner · (920) 887-7731
Enumeration DateFebruary 26, 2009
Last NPPES UpdateJuly 14, 2014
NPI 1396985636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
215 CORPORATE DR, Beaver Dam, WI 53916

Other Identifiers 1

OtherP61WI · Dean Health Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
215 CORPORATE DR, SUITE G
BEAVER DAM, WI 53916
Registered Nurse (Ambulatory Care)
215 CORPORATE DR, SUITE B
BEAVER DAM, WI 53916
Family Medicine
215 CORPORATE DR, SUITE G
BEAVER DAM, WI 53916
Family Medicine
215 CORPORATE DR, SUITE H
BEAVER DAM, WI 53916
General Practice
215 CORPORATE DR, SUITE H
BEAVER DAM, WI 53916
Clinic/Center (VA)
215 CORPORATE DR, SUITE B
BEAVER DAM, WI 53916

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396985636, enumerated as an "organization" on February 26, 2009.

The provider is located at 215 CORPORATE DR SUITE H BEAVER DAM, WI 53916 and the phone number is (920) 887-7731.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.