Ayaz M. Samadani, Md, Sc
Clinic/center
215 Corporate Dr, Suite H, Beaver Dam
Wisconsin, 53916-3123
920-887-7731 Ayaz M. Samadani, Md, Sc is a Clinic/center in Beaver Dam, Wisconsin. It is located at 215 Corporate Dr, Suite H, Beaver Dam and it's customer support contact number is 920-887-7731. The authorized person of Ayaz M. Samadani, Md, Sc is Ayaz M Samadani, MD who is Owner of this DME and his contact number is 920-887-7731.
Ayaz M. Samadani, Md, Sc is 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).
DME Supplier Details:
Ayaz M. Samadani, Md, Sc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Ayaz M. Samadani, Md, Sc |
| Type: | Clinic/center |
| Location: | 215 Corporate Dr, Suite H, Beaver Dam,
Wisconsin, 53916-3123 |
| Phone: | 920-887-7731 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Ayaz M Samadani |
| Credentials: | MD |
| Position: | Owner |
| Contact Number: | 920-887-7731 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1396985636 |
| NPI Enumeration Date: | 26 Feb, 2009 |
| NPI Last Update On: | 14 Jul, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ayaz M. Samadani, Md, Sc are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic/center | | | Primary | |
| Clinical Medical Laboratory | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| P61 | Other | Wisconsin | Dean Health Insurance |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 215 Corporate Dr, Suite H
Beaver Dam, Wisconsin |
| Zip: | 53916-3123 |
| Phone Number: | 920-887-7731 |
Patients can reach Ayaz M. Samadani, Md, Sc at
215 Corporate Dr, Suite H, Beaver Dam, Wisconsin or can
call on customer care at 920-887-7731.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.