Provider Demographics
NPI:1811008444
Name:BABER, WILLIAM W (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:W
Last Name:BABER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:55 WESTPORT PLZ
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-3109
Mailing Address - Country:US
Mailing Address - Phone:314-548-4772
Mailing Address - Fax:314-548-4748
Practice Address - Street 1:3015 N NEW BALLAS RD
Practice Address - Street 2:
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131
Practice Address - Country:US
Practice Address - Phone:314-996-5180
Practice Address - Fax:314-821-2180
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR4J872085R0202X
IL0361148072085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2781OtherGHP
1600240OtherPH PLAN
4871OtherHCARE USA
E40645OtherGATE WAY
1390OtherMO BLUE
300065OtherHLT PART
004013128OtherMO CARE
203086707OtherMO CAID
24363OtherBLUE CHOICE
138494OtherH LINK
203086707OtherMC MCAID
001012444OtherCARE
0006021895OtherIL BLUE
001012444OtherMO CARE
004013128OtherCARE
300066927OtherPR CARE
431725842MIDOtherMERCY
203086707OtherMO CAID
300065OtherHLT PART