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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: August 16, 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
Phone(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
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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.

AYAZ SAMANDANI MD SC
Family Medicine
215 CORPORATE DR, SUITE H
BEAVER DAM, WI 53916
Dodge County (920) 887-7731
MARSHA GAIL CANNON RN
Registered Nurse (Ambulatory Care)
215 CORPORATE DR, SUITE B
BEAVER DAM, WI 53916
Dodge County (920) 356-9415
AYAZ M SAMADANI MD
General Practice
215 CORPORATE DR, SUITE H
BEAVER DAM, WI 53916
Dodge County (920) 887-7731
DR. THOMAS J KALINOSKY DO
Family Medicine
215 CORPORATE DR, SUITE G
BEAVER DAM, WI 53916
Dodge County (920) 887-7692
MADISON VAMC
Clinic/Center (VA)
215 CORPORATE DR, SUITE B
BEAVER DAM, WI 53916
Dodge County (608) 821-7200
THOMAS J KALINOSKY DO
Family Medicine
215 CORPORATE DR, SUITE G
BEAVER DAM, WI 53916
Dodge County (920) 887-7692

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ayaz M. Samadani, MD, Sc's NPI number?

The NPI number for Ayaz M. Samadani, MD, Sc is 1396985636. It was assigned to this organization in the NPPES registry on February 26, 2009.

Where is Ayaz M. Samadani, MD, Sc located?

Ayaz M. Samadani, MD, Sc is located at 215 Corporate Dr Suite H, Beaver Dam, WI 53916. The listed phone number is (920) 887-7731.

What is Ayaz M. Samadani, MD, Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Ayaz M. Samadani, MD, Sc was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.