Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO497 | DC |
Y | 222Z00000X | Podiatrist | PO497 | DC |
N | 213ES0131X | Foot Surgery | PO497 | DC |
NPI | 1225025737 |
---|---|
Provider Name | Ian Howard Beiser |
First Address | Rockville, MD 20850-1341 |
Second Address | Washington, DC 20036-3701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 27/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0261551 | (05) | DC |
0444730 | (05) | DC |
U21785 | (02) |