Healthcare Provider Details

I. General information

NPI: 1750791349
Provider Name (Legal Business Name): JOEL C SUNSHINE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2014
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N CAROLINE ST # 8065
BALTIMORE MD
21287-0006
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
BALTIMORE MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-5933
  • Fax: 410-502-2309
Mailing address:
  • Phone: 410-933-6423
  • Fax: 410-328-6896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License NumberD89342
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberD89342
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: