| Syed A Abdul Khader, MD | |
|
12255 De Paul Dr Ste 120, Bridgeton, MO 63044-2513 | |
| (314) 291-7900 | |
| Not Available |
| Full Name | Syed A Abdul Khader |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 37 Years |
| Location | 12255 De Paul Dr Ste 120, Bridgeton, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043262009 | NPI | - | NPPES |
| 250013818 | Other | MO | RAILROAD MEDICARE |
| 166144 | Other | MO | BLUE CROSS BLUE SHIELD |
| 508368 | Other | MO | HEALTHLINK |
| 2300284 | Other | MO | UNITED HEALTHCARE |
| 128385 | Other | MO | GROUP HEALTH PLAN |
| 7666443 | Other | MO | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2002005127 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 500 |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Syed A Abdul Khader, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Syed A Abdul Khader, MD 12255 De Paul Dr Ste 120, Bridgeton, MO 63044-2513 Ph: (314) 291-7900 |
Charles Gonzales, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12380 De Paul Dr, Bridgeton, MO 63044 Phone: 877-749-7428 Fax: 512-628-3314 | |
Christopher William Jones, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 12115 Bridgeton Sq, Bridgeton, MO 63044 Phone: 314-291-8380 Fax: 314-291-7356 | |
Nikita Wagle, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12380 De Paul Dr, Bridgeton, MO 63044 Phone: 314-447-9700 |