| Moazam J Samdani MD SC | |
|
123 Hospital Dr #214 Watertown WI 53098 | |
| (920) 261-3333 | |
| (920) 261-6955 |
| Full Name | Moazam J Samdani MD SC |
|---|---|
| Speciality | Internal Medicine |
| Location | 123 Hospital Dr, Watertown, Wisconsin |
| Authorized Official Name and Position | Moazam J Samdani (PRESIDENT) |
| Authorized Official Contact | 9202613333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moazam J Samdani MD SC 123 Hospital Dr #214 Watertown WI 53098 Ph: (920) 261-3333 | Moazam J Samdani MD SC 123 Hospital Dr #214 Watertown WI 53098 Ph: (920) 261-3333 |
| NPI Number | 1912078007 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912078007 | NPI | - | NPPES |
| 1000279 | Other | WI | PHYSICIANS PLUS HMO |
| 31092300 | Medicaid | WI | |
| 80 | Other | WI | DEAN HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19713 (Wisconsin) | Primary |
Watertown Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Hospital Dr, Watertown, WI 53098 Phone: 920-261-2020 Fax: 920-261-0457 |
Turke Family Medicine, S.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Hospital Dr, Watertown, WI 53098 Phone: 920-261-2020 Fax: 920-261-0457 |
Watertown Internal Medicine SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Hospital Dr, Suite 2009, Watertown, WI 53098 Phone: 920-262-9833 |
Nagel Neighborhood Health LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 612 Mary Knoll Ln, Watertown, WI 53098 Phone: 920-631-1310 Fax: 920-335-3570 |
Wolfe Mobile Medical LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Grey Fox Run, Watertown, WI 53094 Phone: 920-253-5851 |
Uwhp Wrmc House Calls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Hospital Dr, Ste 2004, Watertown, WI 53098 Phone: 920-253-1230 Fax: 920-262-4333 |