Provider Demographics
NPI:1548258684
Name:KADER, GIHAN A (MD)
Entity type:Individual
Prefix:
First Name:GIHAN
Middle Name:A
Last Name:KADER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7538 BUCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-2802
Mailing Address - Country:US
Mailing Address - Phone:314-725-0192
Mailing Address - Fax:314-725-0315
Practice Address - Street 1:200 MEDICAL PLZ
Practice Address - Street 2:SUITE 103
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-1380
Practice Address - Country:US
Practice Address - Phone:636-625-0206
Practice Address - Fax:636-625-4777
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010785002084B0040X
MO1094312084N0400X
IN01078500A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO005232OtherEXCLUSIVE CHOICE
MO101074OtherBLUE CROSS BLUE SHIELD
MO123648OtherGHP
MOB89022OtherMERCY HEALTH PLANS
MO1612658OtherFIRST HEALTH
MO605209400OtherUS DEPT. OF LABOR
MO810568396OtherTRICARE
MO0500123OtherUNITED HEALTHCARE
MO2731687009OtherCIGNA
MO284557OtherHEALTHLINK
MO4070602OtherAETNA
MO005232OtherEXCLUSIVE CHOICE
MO0500123OtherUNITED HEALTHCARE
MO123648OtherGHP