Provider Demographics
NPI:1417022567
Name:DOONQUAH, LELEKA (MD)
Entity Type:Individual
Prefix:DR
First Name:LELEKA
Middle Name:
Last Name:DOONQUAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 SAINT BARNABAS RD STE D
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1842
Mailing Address - Country:US
Mailing Address - Phone:301-423-1071
Mailing Address - Fax:301-423-1364
Practice Address - Street 1:4302 SAINT BARNABAS RD STE D
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-1842
Practice Address - Country:US
Practice Address - Phone:301-423-1071
Practice Address - Fax:301-423-1364
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD31393207RI0200X
MDD0055160207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC033989600Medicaid