Healthcare Provider Details

I. General information

NPI: 1144167925
Provider Name (Legal Business Name): MR. PREM KURRA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 W BELVEDERE AVE
BALTIMORE MD
21215
US

IV. Provider business mailing address

SINAI HOSPITAL OF BALTIMORE 2401 W BELVEDERE AVE
BALTIMORE MD
21215
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-2803
  • Fax: 410-601-6308
Mailing address:
  • Phone: 410-601-2803
  • Fax: 410-601-6308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: