Individual
DR. ABRAHAM J BARAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 SAINT LUKES CENTER DR, SUITE 402, CHESTERFIELD, MO 63017-3509
(314) 205-6160
(314) 275-8206
Mailing address
121 SAINT LUKES CENTER DR, SUITE 402, CHESTERFIELD, MO 63017-3509
(314) 205-6160
(314) 275-8206
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD36869
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00830214
MEDICARE RR
MO
Enumeration date
09/22/2005
Last updated
01/22/2013
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