Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 54181 | MN |
N | 111NI0900X | Internist | 54181 | MN |
N | 207RH0000X | Hematologist | 37931 | SC |
Y | 207RH0003X | Hematology & Oncology | 10882813-1205 | UT |
N | 207RH0003X | Hematology & Oncology | 37931 | SC |
NPI | 1184855751 |
---|---|
Provider Name | Ming Yeong Lim |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2009 |
Last Update Date | 18/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ENROLLED | (05) | MN |
P01021800 | MEDICARE RAILROAD (01) | MN |