Provider Demographics
NPI:1609845817
Name:SUN, HENRY S (MD)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:S
Last Name:SUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5051 GREENSPRING AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4358
Mailing Address - Country:US
Mailing Address - Phone:410-601-9355
Mailing Address - Fax:410-601-8704
Practice Address - Street 1:193 STONER AVE STE 340
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5680
Practice Address - Country:US
Practice Address - Phone:410-601-9355
Practice Address - Fax:410-601-8704
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2025-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0063130207RC0000X, 207R00000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I47843Medicare UPIN