| Gihan Kader Llc | |
|
200 Medical Plz Suite 103 Lake St Louis MO 63367-1380 | |
| (636) 625-0206 | |
| (636) 625-4777 |
| Full Name | Gihan Kader Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 200 Medical Plz, Lake St Louis, Missouri |
| Authorized Official Name and Position | Gihan Kader (OWNER) |
| Authorized Official Contact | 6366250206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gihan Kader Llc 200 Medical Plz Suite 103 Lake St Louis MO 63367-1380 Ph: (636) 625-0206 | Gihan Kader Llc 200 Medical Plz Suite 103 Lake St Louis MO 63367-1380 Ph: (636) 625-0206 |
| NPI Number | 1326363748 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 11/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326363748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 109431 (Missouri) | Primary |
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