Provider Demographics
NPI:1356318430
Name:PENTSIL, SYBIL B (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SYBIL
Middle Name:B
Last Name:PENTSIL
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:SINAI HOSPITAL OF BALTIMORE DEPT OF PEDIATRICS
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-7509
Mailing Address - Fax:410-601-8335
Practice Address - Street 1:2401 W BELVEDERE AVE
Practice Address - Street 2:SINAI HOSPITAL OF BALTIMORE DEPT OF PEDIATRICS
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5216
Practice Address - Country:US
Practice Address - Phone:410-601-7509
Practice Address - Fax:410-601-8335
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2014-08-05
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Provider Licenses
StateLicense IDTaxonomies
MDD0056303208000000X
MDD56303208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD747300100Medicaid
MDKJ50GB/60733102OtherCAREFIRST MARYLAND
MDS1390051OtherCAREFIRST REGIONAL GBMC
H87156Medicare UPIN
MD568LG42Medicare PIN