Syed A Abdul Khader
Physical Medicine & Rehabilitation Doctor
12266 De Paul Dr Ste 120
Bridgeton
, Missouri 63044-2514
Syed A Abdul Khader
Physical Medicine & Rehabilitation Doctor
12266 De Paul Dr Ste 120
Bridgeton
, Missouri 63044-2514
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Syed A Abdul Khader
- Po Box 955534
- Saint Louis, MO
- Zip : 63195-5534
- Phone :
Second Address
- Syed A Abdul Khader
- 12266 De Paul Dr Ste 120
- Bridgeton, MO
- Zip : 63044-2514
- Fax : (314) 291-5420
- Phone : (314) 291-3399
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 2002005127 | MO |
National Provider Identifier
| NPI | 1043262009 |
|---|---|
| Provider Name | Syed A Abdul Khader |
| First Address | Saint Louis, MO 63195-5534 |
| Second Address | Bridgeton, MO 63044-2514 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 19/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 128385 | GROUP HEALTH PLAN (01) | MO |
| 166144 | BLUE CROSS BLUE SHIELD (01) | MO |
| 2300284 | UNITED HEALTHCARE (01) | MO |
| 250013818 | RAILROAD MEDICARE (01) | MO |
| 508368 | HEALTHLINK (01) | MO |
| 7666443 | AETNA (01) | MO |
| H69872 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.