Provider Demographics
NPI:1972697837
Name:ADU- AMANKWA, NANA A (MD)
Entity Type:Individual
Prefix:
First Name:NANA
Middle Name:A
Last Name:ADU- AMANKWA
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 1:9740 TRAVILLE GATEWAY DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7409
Mailing Address - Country:US
Mailing Address - Phone:240-499-8664
Mailing Address - Fax:
Practice Address - Street 1:9740 TRAVILLE GATEWAY DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7409
Practice Address - Country:US
Practice Address - Phone:240-499-8664
Practice Address - Fax:240-499-8692
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD035109208000000X
MDD00643612080N0001X, 208000000X
AZ71280208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice