Provider Demographics
NPI:1043742117
Name:ALLEN, I. JULIANA (MD)
Entity type:Individual
Prefix:DR
First Name:I.
Middle Name:JULIANA
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12210 PLUM ORCHARD DR STE 212
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7913
Mailing Address - Country:US
Mailing Address - Phone:301-593-6844
Mailing Address - Fax:301-593-3832
Practice Address - Street 1:12210 PLUM ORCHARD DR STE 212
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7913
Practice Address - Country:US
Practice Address - Phone:301-593-6844
Practice Address - Fax:301-593-3832
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DC390200000X
MDD95782207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program