Provider Demographics
NPI:1134205693
Name:AYENSU-DANQUAH, GRACE (MD)
Entity type:Individual
Prefix:DR
First Name:GRACE
Middle Name:
Last Name:AYENSU-DANQUAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:AYENSU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 64834
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4834
Mailing Address - Country:US
Mailing Address - Phone:443-481-6550
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:2001 MEDICAL PKWY
Practice Address - Street 2:ANNE ARUNDEL MEDICAL CENTER
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3280
Practice Address - Country:US
Practice Address - Phone:443-481-1000
Practice Address - Fax:443-481-1360
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0070045282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
V9730011OtherCAREFIRST DC
MD338806900Medicaid
97472001OtherCAREFIRST MD
607156013OtherDEPT OF LABOR
P01010056Medicare PIN
97472001OtherCAREFIRST MD