Provider Demographics
NPI:1295792851
Name:SALEM, BAKR (MD)
Entity type:Individual
Prefix:DR
First Name:BAKR
Middle Name:
Last Name:SALEM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:222 S WOODS MILL RD
Mailing Address - Street 2:SUITE 500 NORTH
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3625
Mailing Address - Country:US
Mailing Address - Phone:314-205-6699
Mailing Address - Fax:314-205-6985
Practice Address - Street 1:222 S WOODS MILL RD
Practice Address - Street 2:SUITE 500 NORTH
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3625
Practice Address - Country:US
Practice Address - Phone:314-205-6699
Practice Address - Fax:314-590-5923
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2017-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO35628207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO268239OtherGHP
MO202291OtherBCBS
MO204675516Medicaid
MOP00292775OtherMEDICARE RAILROAD
MOP00292775OtherMEDICARE RAILROAD