IndividualActive
Ayaz Samadani, MD
NPI 1811947088 · General Practice Physician · Beaver Dam, WI
Provider details
- NPI number
- 1811947088
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 20554-020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
- 2006-05-11
- 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.