Healthcare Provider Details

I. General information

NPI: 1972949584
Provider Name (Legal Business Name): GRAZELDA KWAKYE-ACKAH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 N CHARLES ST STE 406
BALTIMORE MD
21204-5803
US

IV. Provider business mailing address

6701 N CHARLES ST S. CHAPMAN BUILDING, SUITE 102
BALTIMORE MD
21204-6808
US

V. Phone/Fax

Practice location:
  • Phone: 443-849-2568
  • Fax: 443-849-2939
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036142402
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: