Vadim Yuri Baram in Saint Louis - Geriatric Psychiatry
Vadim Yuri Baram - NPI 1124007380
Vadim Yuri Baram is a Geriatric Psychiatry in Saint Louis, Missouri. Vadim Yuri Baram practices all healthcare services and medical treatments related to Geriatric Psychiatry. The NPI Number for Vadim Yuri Baram is 1124007380. The last update date is 2023-03-07.
Vadim Yuri Baram's current location address is 10420 Old Olive Street Rd, Saint Louis, Missouri. You can contact this provider via phone number 3145044698 and fax number 3146929978. The mailing address for Vadim Yuri Baram is 10420 Old Olive Street Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vadim Yuri Baram |
|---|---|
| Address | 10420 Old Olive Street Rd, Saint Louis, Missouri |
| Phone Number | 3145044698 |
| Fax Number | 3146929978 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124007380 |
|---|---|
| Provider Enumeration Date | 2006-01-15 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 10420 Old Olive Street Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631415914 |
| Phone Number | 3145044698 |
| Fax Number | 3146929978 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Psychiatry |
|---|---|
| Taxonomy | 2084P0805X |
| Licence No | 2004022302 |
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Definition: Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11541376 | MO | CAQH | |
| 209106822 | MO | -- | |
| 41854 | CT | CONNECTICUT LICENSE | |
| 2004022302 | MO | MISSOURI LICENSE | |
| 353493570 | MO | BNDD | |
| 0-549-411-7 | MO | ECFMG CERTIFICATE | |
| 230500 | NY | LICENSE | |
| 209106814 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Vadim Yuri Baram by the Centers for Medicare & Medicaid Services (CMS)?
The Vadim Yuri Baram has been assigned the NPI (National Provider Identifier) 1124007380. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Vadim Yuri Baram is physically located?
The Vadim Yuri Baram is situated at the following address: 10420 Old Olive Street Rd, Saint Louis, MO 631415914.
What is Vadim Yuri Baram's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Vadim Yuri Baram is Geriatric Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0805X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124007380 to Vadim Yuri Baram?
The Centers for Medicare & Medicaid Services assigned the 1124007380 to Vadim Yuri Baram on 2006-01-15.
As of what date were the Vadim Yuri Baram's details last updated?
The information pertaining to the Vadim Yuri Baram, including its address, specialty, and other details, was most recently updated on 2023-03-07.
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