Provider Demographics
NPI:1639906076
Name:BEAIRS, XAVIER HASAN
Entity type:Individual
Prefix:
First Name:XAVIER
Middle Name:HASAN
Last Name:BEAIRS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2361 11TH ST NW APT 21
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-2240
Mailing Address - Country:US
Mailing Address - Phone:202-977-7107
Mailing Address - Fax:
Practice Address - Street 1:2361 11TH ST NW APT 21
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-2240
Practice Address - Country:US
Practice Address - Phone:202-977-7107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant