Individual
SYED A ABDUL KHADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12255 DE PAUL DR STE 120, BRIDGETON, MO 63044-2513
(314) 291-7900
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2002005127
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128385
GROUP HEALTH PLAN
MO
01
—
166144
BLUE CROSS BLUE SHIELD
MO
01
—
2300284
UNITED HEALTHCARE
MO
01
—
250013818
RAILROAD MEDICARE
MO
01
—
508368
HEALTHLINK
MO
01
—
7666443
AETNA
MO
Enumeration date
05/17/2006
Last updated
05/31/2023
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