Healthcare Provider Details

I. General information

NPI: 1225025737
Provider Name (Legal Business Name): IAN HOWARD BEISER D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 05/26/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 19TH ST NW STE 605
WASHINGTON DC
20036-3731
US

IV. Provider business mailing address

PO BOX 825159
PHILADELPHIA PA
19182-5159
US

V. Phone/Fax

Practice location:
  • Phone: 202-833-9109
  • Fax: 202-833-5762
Mailing address:
  • Phone: 202-833-9109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO497
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO497
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: