Ayaz M Samadani, MD in Beaver Dam, WI - General Practice

Ayaz M Samadani, MD is a General Practice physician based in Beaver Dam, Wisconsin. Ayaz M Samadani is licensed to practice in Wisconsin (license number 20554-020) and his current practice location is 215 Corporate Dr, Suite H, Beaver Dam, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 887-7731.

NPI number for Ayaz M Samadani is 1811947088 and his current mailing address is 215 Corporate Dr, Suite H, Beaver Dam, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811947088.

Contact Information

	Ayaz M Samadani, MD
	215 Corporate Dr, Suite H, Beaver Dam, WI 53916-3123
	(920) 887-7731
	Not Available

Physician's Profile

Full Name	Ayaz M Samadani
Gender	Male
Speciality	General Practice
Location	215 Corporate Dr, Beaver Dam, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1811947088
Provider Enumeration Date: 05/11/2006
Last Update Date: 07/14/2014

Medical Identifiers

Medical identifiers for Ayaz M Samadani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811947088	NPI	-	NPPES
1001259	Other	WI	PHYSICIANS PLUS
17209	Other	WI	DEAN HEALTH INSURANCE
31059600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	20554-020 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ayaz M Samadani is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ayaz M Samadani, MD 215 Corporate Dr, Suite H, Beaver Dam, WI 53916-3123 Ph: (920) 887-7731	Ayaz M Samadani, MD 215 Corporate Dr, Suite H, Beaver Dam, WI 53916-3123 Ph: (920) 887-7731

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Ayaz M Samadani, MD - General Practice in Beaver Dam, WI