Provider Demographics
NPI:1508279373
Name:ANKRAH, SAM
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:
Last Name:ANKRAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12605 TROTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1385
Mailing Address - Country:US
Mailing Address - Phone:301-379-8993
Mailing Address - Fax:
Practice Address - Street 1:12605 TROTWOOD CT
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1385
Practice Address - Country:US
Practice Address - Phone:301-379-8993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study