Baram, Vadim Yuri
Baram, Vadim Yuri is an sole proprietor health care provider with primary practice located at 10420 Old Olive Street Rd Ste 205, Saint Louis MO 63141-5914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Baram, Vadim Yuri can be contacted via phone (314) 504-4698.Contact Information
Primary practice address
10420 Old Olive Street Rd Ste 205
Saint Louis MO 63141-5914
Phone: (314) 504-4698
Fax: (314) 692-9978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 2004022302 | Missouri |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2004022302 | Missouri |
Profile Details
| NPI number | 1124007380 |
|---|---|
| LBN Legal business name | Baram, Vadim Yuri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124007380 | NPPES |
| Missouri | Other | 11541376 | CAQH |
| Missouri | MEDICAID | 209106822 | CAQH |
| Missouri | Other | 041854 | CAQH |
| Missouri | Other | 2004022302 | CAQH |
| Missouri | Other | 353493570 | CAQH |
| Missouri | Other | 0-549-411-7 | CAQH |
| Missouri | Other | 230500 | CAQH |
| Missouri | MEDICAID | 209106814 | CAQH |
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