Provider Demographics
NPI:1881473361
Name:TANG, BEATRICE EKWO
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:EKWO
Last Name:TANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7730 HARKINS RD
Mailing Address - Street 2:
Mailing Address - City:GLENARDEN
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1315
Mailing Address - Country:US
Mailing Address - Phone:571-406-9207
Mailing Address - Fax:
Practice Address - Street 1:301 M ST SW APT 208
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-3648
Practice Address - Country:US
Practice Address - Phone:202-441-6187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant