Provider Demographics
NPI:1518934165
Name:BANK, SYLVIA C (MD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:C
Last Name:BANK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3883 WOODVILLE LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-4837
Mailing Address - Country:US
Mailing Address - Phone:410-480-5437
Mailing Address - Fax:
Practice Address - Street 1:5755 CEDAR LANE
Practice Address - Street 2:HOWARD COUNTY GENERAL HOSPITAL
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044
Practice Address - Country:US
Practice Address - Phone:410-884-4888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00600732080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD022004300Medicaid
MD403311600Medicaid
MDP00433936OtherRAILROAD
MD988LMedicare PIN
MD022004300Medicaid
MDR275Medicare PIN