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AYAZ SAMANDANI MD SC NPI 1205248804


NPI Information

NPI: 1205248804
Provider Name: AYAZ SAMANDANI MD SC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
215 CORPORATE DR
SUITE H
BEAVER DAM, WI
ZIP 53916
Phone: (920) 887-7731
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AYAZ SAMANDANI MD SC is a family medicine in Beaver Dam, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AYAZ SAMANDANI MD SC NPI is 1205248804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

215 CORPORATE DR
SUITE H
BEAVER DAM, WI
ZIP 53916-123
Phone: (920) 887-7731
Fax: (920) 887-3201

The provider's authorized official is Ayaz M Samadani .
The authorized official title is Md/owner and has the following contact phone number (920) 887-7731.

The enumeration date for this NPI number is 5/30/2014 and was last updated on 5/30/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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