OrganizationActive
Ayaz Samandani MD Sc
NPI 1205248804 · Family Medicine Physician · Beaver Dam, WI
Provider details
- NPI number
- 1205248804
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ayaz Samadani, Md/Owner(920) 887-7731
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
215 Corporate Dr
Suite H
Beaver Dam, WI 53916-3123
Phone: (920) 887-7731
Fax: (920) 887-3201
Approximate (ZIP-level) locationGet directions
Mailing address
215 Corporate Dr
Beaver Dam, WI 53916-3123
Registry dates
- Enumerated
- 2014-05-30
- Last updated
- 2014-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.