OrganizationActive
Ayaz M. Samadani, MD, Sc
NPI 1396985636 · Clinic/Center · Beaver Dam, WI
Provider details
- NPI number
- 1396985636
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ayaz Samadani, Owner(920) 887-7731
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Medical Laboratory291U00000X
Laboratories
Suppliers
Practice location
215 Corporate Dr
Suite H
Beaver Dam, WI 53916-3123
Phone: (920) 887-7731
Approximate (ZIP-level) locationGet directions
Mailing address
215 Corporate Dr
Beaver Dam, WI 53916-3123
Registry dates
- Enumerated
- 2009-02-26
- Last updated
- 2014-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.