Provider Demographics
NPI:1447210794
Name:GERMANAS, JURIS PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JURIS
Middle Name:PAUL
Last Name:GERMANAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1502 S MAIN ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-5325
Mailing Address - Country:US
Mailing Address - Phone:301-829-4185
Mailing Address - Fax:301-829-4187
Practice Address - Street 1:1502 S MAIN ST
Practice Address - Street 2:SUITE 304
Practice Address - City:MOUNT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-5325
Practice Address - Country:US
Practice Address - Phone:301-829-4185
Practice Address - Fax:301-829-4187
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0064303207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM0086OtherPHYSICIAN'S LICENSE
MDD0064303OtherLICENSE
MDI54409Medicare UPIN
MD553MO090Medicare PIN