Healthcare Provider Details

I. General information

NPI: 1386272441
Provider Name (Legal Business Name): MEGHAN BEATSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4910 MASSACHUSETTS AVE NW STE 302
WASHINGTON DC
20016-4388
US

IV. Provider business mailing address

4910 MASSACHUSETTS AVE NW SUITE 302
WASHINGTON DC
20016
US

V. Phone/Fax

Practice location:
  • Phone: 202-991-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD600005365
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: