National Provider Identifier Database

MOAZAM J SAMDANI MD SC
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

MOAZAM J SAMDANI MD SC
123 HOSPITAL DR
#214
WATERTOWN, WI53098
Phone: 920-261-3333
Fax: 920-261-6955
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for MOAZAM J SAMDANI MD SC

NPI Number 1912078007
Legal business name
LBN
MOAZAM J SAMDANI MD SC
Authorized official MOAZAM SAMDANI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/13/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 19713
  • WI Medicaid: 31092300
  • WI Other: 80 DEAN HEALTH PLAN
  • WI Other: 1000279 PHYSICIANS PLUS HMO

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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