Ayaz M Samadani Md

LBN: St. Marys Dean Ventures Inc.
Ayaz M Samadani Md is an health care organization with primary practice located at 148 Warren St Ste A, Beaver Dam WI 53916-3061. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. St. Marys Dean Ventures Inc. can be contacted via phone (920) 887-7731, or through Grinnell, Amy J via phone (608) 260-3586.

Contact Information

Primary practice address
148 Warren St Ste A Beaver Dam WI 53916-3061
Phone: (920) 887-7731
Fax: (920) 887-3201
Website:
Map and Directions
Authorized official contact:
Name: Grinnell, Amy J
Phone: (608) 260-3586

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Wisconsin

Profile Details

NPI number 1881639037
LBN Legal business name St. Marys Dean Ventures Inc.
DBA Doing business as Ayaz M Samadani Md
Authorized official Grinnell, Amy J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 19th, 2006
Last updated Oct 29th, 2021 - about 4 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 1881639037 NPPES
Wisconsin MEDICAID 32824600
Wisconsin Other M43
Wisconsin Other 137082516

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