Healthcare Provider Details

I. General information

NPI: 1245285089
Provider Name (Legal Business Name): JANAKI C KURUPPU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10801 LOCKWOOD DR STE 160
SILVER SPRING MD
20901-1586
US

IV. Provider business mailing address

10801 LOCKWOOD DR STE 160
SILVER SPRING MD
20901-1586
US

V. Phone/Fax

Practice location:
  • Phone: 301-298-1040
  • Fax: 844-351-4690
Mailing address:
  • Phone: 301-298-1040
  • Fax: 844-351-4690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberD54523
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: