Provider Demographics
NPI:1023555273
Name:TOTAL ACCESS MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:TOTAL ACCESS MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADU-AMANKWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-870-0147
Mailing Address - Street 1:9740 TRAVILLE GATEWAY DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7409
Mailing Address - Country:US
Mailing Address - Phone:240-750-0147
Mailing Address - Fax:
Practice Address - Street 1:9740 TRAVILLE GATEWAY DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7409
Practice Address - Country:US
Practice Address - Phone:240-750-0147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00064361261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care