Provider Demographics
NPI:1386624708
Name:SAYED, KHALIL SAHIER (MD)
Entity type:Individual
Prefix:MR
First Name:KHALIL
Middle Name:SAHIER
Last Name:SAYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15229 W ELLSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5007
Mailing Address - Country:US
Mailing Address - Phone:303-278-1298
Mailing Address - Fax:
Practice Address - Street 1:15229 W ELLSWORTH DR
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5007
Practice Address - Country:US
Practice Address - Phone:303-278-1298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO30172207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01301720Medicaid
CO01301720Medicaid