# BAHM FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184839136
- **Authorized official:** DR. AKINRINOLA FATOKI MD (MEMBER)
- **Authorized official phone:** (314) 355-5300

## Contact information

- **Practice address:** 2880 NETHERTON DR STE 200, SAINT LOUIS, MO 63136-4697
- **Practice address phone:** (314) 355-5300
- **Practice address fax:** (314) 521-4656
- **Mailing address:** PO BOX 4204, CHESTERFIELD, MO 63006-4204
- **Mailing address phone:** (314) 355-5300
- **Mailing address fax:** (314) 521-4656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 109044 | MO | Yes |

## Other

- **Enumeration date:** 05/12/2007
- **Last updated:** 10/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 208030767 | — | MO |