Healthcare Provider Details

I. General information

NPI: 1285562967
Provider Name (Legal Business Name): LEONARD ELDEIRY M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DETROIT MEDICAL CENTER - HURON VALLEY-SINAI HOSPITAL 1 WILLIAMS CARLS DRIVE
COMMERCE TOWNSHIP MI
48382
US

IV. Provider business mailing address

DETROIT MEDICAL CENTER - HURON VALLEY-SINAI HOSPITAL 1 WILLIAMS.CARLS DRIVE
COMMERCE TOWNSHIP MI
48382
US

V. Phone/Fax

Practice location:
  • Phone: 248-937-5085
  • Fax: 248-937-5023
Mailing address:
  • Phone: 248-937-5085
  • Fax: 248-937-5023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: