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DR. MICHAEL DAVID SULLIVAN MD
NPI 1679213847
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 29, 2022
22 S GREENE ST RM N3E09, BALTIMORE, MD 21201(410) 328-6110 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael David Sullivan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL DAVID SULLIVAN MD (NPI 1679213847) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1679213847
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHAEL DAVID SULLIVANCredential: MD
Location Address22 S GREENE ST RM N3E09Baltimore, MD 21201-1544
Mailing Address22 S Greene St Rm N3e09Baltimore, MD 21201-1544 · (410) 328-6110
Phone(410) 328-6110
Sole ProprietorNo
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1679213847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
22 S GREENE ST RM N3E09, Baltimore, MD 21201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE MICHAELA PANAGOS MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
NICHOLAS ANTHONY MUSACCHIO
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
RENUKA MEENU RAMCHANDRAN MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
ALEX PU MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
MEGAN BURIN
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
ROHAN SINGH MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
BRADLEY RYBINSKI
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
ETHAN KOTLOFF MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1679213847. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Michael Sullivan located?

Michael Sullivan practices at 22 S Greene St Rm N3e09, Baltimore, MD 21201. The listed phone number is (410) 328-6110.

What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.