Provider Demographics
NPI:1003172693
Name:CHAUDHRY JEWAYNI, RUKHSANA MANSOOR (PSYD)
Entity type:Individual
Prefix:DR
First Name:RUKHSANA
Middle Name:MANSOOR
Last Name:CHAUDHRY JEWAYNI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:RUKHSANA
Other - Middle Name:
Other - Last Name:CHAUDHRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:5480 WISCONSIN AVE STE 223
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3503
Mailing Address - Country:US
Mailing Address - Phone:301-246-2042
Mailing Address - Fax:
Practice Address - Street 1:5480 WISCONSIN AVE STE 223
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3503
Practice Address - Country:US
Practice Address - Phone:301-246-2042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-08
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000753103T00000X
103T00000X
MD0513103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist