Provider Demographics
NPI:1801034699
Name:PERRY, JULIA HERST (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:HERST
Last Name:PERRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:MARIE
Other - Last Name:HERST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 SUTTER ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-4009
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:415-520-0904
Practice Address - Street 1:1827 ADAMS MILL RD NW STE C
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2399
Practice Address - Country:US
Practice Address - Phone:202-627-1903
Practice Address - Fax:202-660-0025
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT55059207R00000X, 208M00000X
390200000X
DCMD047013207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program