Organization
VADIM BARAM MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAREN ZINN (OFFICE MANAGER)
(314) 692-8516
Entity
Organization
Contact information
Practice address
10420 OLD OLIVE STREET RD STE 205, SAINT LOUIS, MO 63141-5937
(314) 692-8516
(314) 692-9978
Mailing address
10420 OLD OLIVE STREET RD STE 205, SAINT LOUIS, MO 63141-5937
(314) 692-8516
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
2004022302
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209106806
—
MO
Enumeration date
06/10/2008
Last updated
09/25/2020
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