Provider Demographics
NPI:1962660134
Name:DANKWAH-QUANSAH, MAAME AMPOMAH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MAAME
Middle Name:AMPOMAH
Last Name:DANKWAH-QUANSAH
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 LAKE HAVASU AVE S
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-6526
Mailing Address - Country:US
Mailing Address - Phone:928-680-4040
Mailing Address - Fax:
Practice Address - Street 1:297 LAKE HAVASU AVE S
Practice Address - Street 2:SUITE 106
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-6526
Practice Address - Country:US
Practice Address - Phone:928-680-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ484522084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology