Ayaz M. Samadani, Md, Sc

LBN: Ayaz M. Samadani, Md, Sc
Ayaz M. Samadani, Md, Sc is an health care organization with primary practice located at 215 Corporate Dr Suite H, Beaver Dam WI 53916-3123. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Laboratories / Clinical Medical Laboratory, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Ayaz M. Samadani, Md, Sc can be contacted via phone (920) 887-7731, or through Samadani, Ayaz M via phone (920) 887-7731.

Contact Information

Primary practice address
215 Corporate Dr Suite H Beaver Dam WI 53916-3123
Phone: (920) 887-7731
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Samadani, Ayaz M Doctor of Medicine (MD)
Phone: (920) 887-7731

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1396985636
LBN Legal business name Ayaz M. Samadani, Md, Sc
DBA Doing business as
Authorized official Samadani, Ayaz M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2009
Last updated Jul 14th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396985636 NPPES
Wisconsin Other P61 DEAN HEALTH INSURANCE

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