Healthcare Provider Details

I. General information

NPI: 1750264222
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 OLD COURT ROAD
RANDALLSTOWN MD
21133-5103
US

IV. Provider business mailing address

5401 OLD COURT ROAD
RANDALLSTOWN MD
21133-5103
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-6840
  • Fax: 410-601-5789
Mailing address:
  • Phone: 410-601-6840
  • Fax: 410-601-5789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: CHARLES B EFIRD
Title or Position: DIRECTOR
Credential:
Phone: 410-601-7019