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Contact Information

VADIM Y BARAM, MD
10420 OLD OLIVE STREET RD
STE 205
SAINT LOUIS, MO63141-5914
 Phone: 314-504-4698
 Fax: 314-692-9978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for VADIM Y BARAM · (Male)

NPI # 1124007380
Status Active
Credentials MD
Entity Individual
Enumeration date 01/15/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2004022302
  • MO Medicaid 209106814
  • MO Medicaid 209106822
  • CT Other 041854 CONNECTICUT LICENSE
  • MO Other 353493570 BNDD
  • MO Other 11541376 CAQH
  • MO Other 0-549-411-7 ECFMG CERTIFICATE
  • MO Other 2004022302 MISSOURI LICENSE
  • NY Other 230500 LICENSE
Hospital affiliation(s)
  • BARNES JEWISH HOSPITAL - (Acute Care)
    ONE BARNES-JEWISH HOSPITAL PLAZA
    SAINT LOUIS, MO 63110
  • SSM DEPAUL HEALTH CENTER - (Acute Care)
    12303 DEPAUL DRIVE
    BRIDGETON, MO 63044
  • SSM ST JOSEPH HEALTH CENTER - (Acute Care)
    300 1ST CAPITOL DR
    SAINT CHARLES, MO 63301
  • SSM ST MARYS HEALTH CENTER - (Acute Care)
    6420 CLAYTON RD
    RICHMOND HEIGHTS, MO 63117
  • ST ALEXIUS HOSPITAL - (Acute Care)
    3933 S BROADWAY
    SAINT LOUIS, MO 63118
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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