MEDICARE: KHALED M SLEIK MD FRCPC

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	207RC0000X	Cardiovascular Disease Physician	35084300	OH
2	207RI0011X	Interventional Cardiology Physician	4301113429	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033221056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHALED M SLEIK MD FRCPC

Provider Business Mailing Address
First Line	:	311 MACK AVE STE 2101
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-2466
Country	:	US
Telephone Number	:	313-832-0300
Fax Number	:	313-745-9222

Provider Business Practice Location Address
First Line	:	311 MACK AVE STE 2101
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-2466
Country	:	US
Telephone Number	:	313-832-0300
Fax Number	:	313-745-9222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/21/2022

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