Healthcare Provider Details

I. General information

NPI: 1568993772
Provider Name (Legal Business Name): AMIR ABDEL KADER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 LIMESTONE RD STE 101
WILMINGTON DE
19808-5413
US

IV. Provider business mailing address

743 IRIS LN
MEDIA PA
19063-5456
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-9494
  • Fax: 302-691-1478
Mailing address:
  • Phone: 302-366-2000
  • Fax: 302-533-2424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD473898
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberC1-0025172
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: