Provider Demographics
NPI:1407043656
Name:QUAYE, ROLAND ANETEY (MD)
Entity Type:Individual
Prefix:DR
First Name:ROLAND
Middle Name:ANETEY
Last Name:QUAYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ROLAND
Other - Middle Name:A
Other - Last Name:QUAYE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4600 SPTSYLVANIA PKWY
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-3917
Mailing Address - Country:US
Mailing Address - Phone:540-498-4952
Mailing Address - Fax:
Practice Address - Street 1:4600 SPOTSYLVANIA PKWY
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-7762
Practice Address - Country:US
Practice Address - Phone:540-498-4952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101242567208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1407043656Medicaid
VAMC12377Medicare PIN
VA1407043656Medicaid