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AYAZ M SAMADANI MD
NPI 1811947088
General Practice in Beaver Dam, WI

Active since May 11, 2006
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 NPPES

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

AYAZ M SAMADANI MD (NPI 1811947088) is an individual general practice provider in Beaver Dam, Wisconsin, licensed in Wisconsin (20554-020) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1811947088
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameAYAZ M SAMADANICredential: MD
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
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 14, 2014
✔ NPI 1811947088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WI · 20554-020
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
215 CORPORATE DR, Beaver Dam, WI 53916
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Other Identifiers 7

Other17209WI · Dean Health Insurance
Medicare PIN080179057WI
Medicare PIN008154375WI
Medicare PIN007213215WI
Medicare UPINB56258
Medicaid31059600WI
Other1001259WI · Physicians Plus

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
AYAZ M. SAMADANI, MD, SC
Clinic/Center
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
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 Samadani's NPI number?

The NPI number for Ayaz Samadani is 1811947088. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Ayaz Samadani located?

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

What is Ayaz Samadani's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ayaz Samadani 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.