Healthcare Provider Details

I. General information

NPI: 1033221056
Provider Name (Legal Business Name): KHALED M SLEIK MD FRCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 MACK AVE STE 2101
DETROIT MI
48201-2466
US

IV. Provider business mailing address

311 MACK AVE STE 2101
DETROIT MI
48201-2466
US

V. Phone/Fax

Practice location:
  • Phone: 313-832-0300
  • Fax: 313-745-9222
Mailing address:
  • Phone: 313-832-0300
  • Fax: 313-745-9222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35084300
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number4301113429
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: