Provider Demographics
NPI:1932490711
Name:GUEYE, AMY HOLDA (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:HOLDA
Last Name:GUEYE
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 1:5500 KNOLL NORTH DR STE 310
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2363
Mailing Address - Country:US
Mailing Address - Phone:443-986-7349
Mailing Address - Fax:
Practice Address - Street 1:5500 KNOLL NORTH DR STE 310
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2363
Practice Address - Country:US
Practice Address - Phone:443-986-7349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1357207V00000X
MDD79756207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology