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Contact Information

VADIM BARAM MD, INC.
10420 OLD OLIVE STREET RD STE 205
SAINT LOUIS, MO63141-5937
 Phone: 314-692-8516
 Fax: 314-692-9978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for VADIM BARAM MD INC · (Female)

NPI Number 1770743189
Status Active
Credentials
Entity Individual
Enumeration date 06/10/2008
Last updated 09/25/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 2004022302
  • MO Medicaid 209106806
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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