Provider Demographics
NPI:1245591650
Name:GERONIMO ADAMES, JUAN CARLOS (MD)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:CARLOS
Last Name:GERONIMO ADAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 842012
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-2012
Mailing Address - Country:US
Mailing Address - Phone:918-579-3805
Mailing Address - Fax:918-579-3377
Practice Address - Street 1:600 SW COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1684
Practice Address - Country:US
Practice Address - Phone:785-233-9643
Practice Address - Fax:785-233-6821
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-01
Last Update Date:2025-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2019009734208G00000X
KS04-51805208G00000X
CT73731208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)