Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ayaz M. Samadani, MD, SC

Organization Clinic/Center · NPI 1396985636

Ayaz M. Samadani, MD, SC is a Clinic/Center in Beaver Dam, Wisconsin. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3

Practice location Address checks out

215 Corporate Dr Ste H
Beaver Dam, WI 53916-3123
Phone: (920) 887-7731
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Clinical Medical Laboratory Taxonomy 291U00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1396985636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ayaz Samadani — Owner · (920) 887-7731
NPI enumeratedFebruary 26, 2009
Last updated in NPPESJuly 14, 2014
Mailing address215 Corporate Dr, Suite H, Beaver Dam, WI 53916-3123

Other providers in Beaver Dam