MEDICARE: SKYE HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1538007331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKYE HEALTH PLLC

Provider Business Mailing Address
First Line	:	29532 SOUTHFIELD RD STE 115
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-2023
Country	:	US
Telephone Number	:	248-587-8267
Fax Number	:	248-973-1345

Provider Business Practice Location Address
First Line	:	29532 SOUTHFIELD RD STE 115
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-2023
Country	:	US
Telephone Number	:	248-587-8267
Fax Number	:	248-973-1345

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MARK IJLAL
Credential	:
Telephone Number	:	248-587-8267

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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