Ayaz Samandani MD Sc
NPI #1205248804 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1205248804
- Entity Type
- Organization
- Organization Name
- Ayaz Samandani MD Sc
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 30, 2014
- Last Updated
- May 30, 2014
Practice Location
- Address
- 215 CORPORATE DR
- Address 2
- SUITE H
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-3123
- Phone
- (920) 887-7731
Authorized Official
- Name
- AYAZ M SAMADANI, MD
- Title
- MD/OWNER
- Phone
- (920) 887-7731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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