Ayaz Samandani Md Sc | |
215 Corporate Dr Suite H Beaver Dam WI 53916-3123 | |
(920) 887-7731 | |
(920) 887-3201 |
Full Name | Ayaz Samandani Md Sc |
---|---|
Speciality | Family Medicine |
Location | 215 Corporate Dr, Beaver Dam, Wisconsin |
Authorized Official Name and Position | Ayaz M Samadani (MD/OWNER) |
Authorized Official Contact | 9208877731 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ayaz Samandani Md Sc 215 Corporate Dr Suite H Beaver Dam WI 53916-3123 Ph: (920) 887-7731 | Ayaz Samandani Md Sc 215 Corporate Dr Suite H Beaver Dam WI 53916-3123 Ph: (920) 887-7731 |
NPI Number | 1205248804 |
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Provider Enumeration Date | 05/30/2014 |
Last Update Date | 05/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205248804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ayaz M. Samadani, Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Corporate Dr, Suite H, Beaver Dam, WI 53916 Phone: 920-887-7731 | |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Corporate Dr Ste A, Beaver Dam, WI 53916 Phone: 414-566-4000 | |
Victor W. Caceres, M.d.,s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 S. University Avenue, Beaver Dam, WI 53916 Phone: 920-885-9238 Fax: 920-885-4405 |