Active NPI
Khurram Janjua, M.D.
- Research Study Specialist
- Rockville, MD
National Provider Identifier
1336657899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Study Specialist
- Practice address
- 11140 Rockville Pike Ste 602
Rockville, MD 20852-3184 - Phone
- (443) 570-4603
- Fax
- (347) 588-8845
- NPI assigned
- Jan 18, 2018
- Last updated
- Sep 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | MD | ||
| Research Study Specialist | 1744R1102X | NU | Primary | |
| Health Educator | 174H00000X | NU |
Addresses
Primary practice location
11140 Rockville Pike Ste 602
Rockville, MD 20852-3184
Mailing address
10306 Winstead CT
Woodstock, MD 21163-1310
Phone (443) 570-4603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kyn Health | Current | Accepting new patients | |
| One Mental Health LLC - Rockville | Past | Accepting new patients |
Locations
11140 Rockville Pike
Ste 602
Rockville, MD 20852
Phone (301) 591-6830
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ellie Mental Health
- Mental Health Counselor
- Rockville, MD
- NPI 1003741034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1336657899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10306 WINSTEAD CT",
"city": "WOODSTOCK",
"state": "MD",
"postal_code": "211631310",
"telephone_number": "443-570-4603",
"fax_number": "347-588-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11140 ROCKVILLE PIKE STE 602",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523184",
"telephone_number": "443-570-4603",
"fax_number": "347-588-8845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANJUA",
"first_name": "KHURRAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-18",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.