Eddie A. Lim M.d. Inc | |
1021 Smith St Suite # 306 Honolulu HI 96817-5623 | |
(808) 545-5777 | |
(808) 537-9507 |
Full Name | Eddie A. Lim M.d. Inc |
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Speciality | Internal Medicine |
Location | 1021 Smith St, Honolulu, Hawaii |
Authorized Official Name and Position | Eddie A Lim (PRESIDENT) |
Authorized Official Contact | 8085455777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eddie A. Lim M.d. Inc 1021 Smith St Suite # 306 Honolulu HI 96817-5623 Ph: (808) 545-5777 | Eddie A. Lim M.d. Inc 1021 Smith St Suite # 306 Honolulu HI 96817-5623 Ph: (808) 545-5777 |
NPI Number | 1497062673 |
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Provider Enumeration Date | 09/08/2010 |
Last Update Date | 09/08/2010 |
Medicare PECOS PAC ID | 3274657804 |
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Medicare Enrollment ID | O20100902000572 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497062673 | NPI | - | NPPES |
0000206078 | Other | HI | HMSA QUEST |
07775800 | Other | HI | ALOHACARE ADVANTAGE PLUS |
07775801 | Medicaid | HI | |
07775801 | Other | HI | ALOHACARE |
20607-8 | Other | HI | HMSA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 9372 (Hawaii) | Primary |
Provider Name | Eddie A Lim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164439683 PECOS PAC ID: 2961694120 Enrollment ID: I20101006000240 |
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