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Individual

MR. HARRY LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8075 N SHADELAND AVE, SUITE 200, INDIANAPOLIS, IN 46250-2693
(317) 621-8500
(317) 621-8501
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01061749A
IN
207RC0000X
Cardiovascular Disease Physician
36756
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200848170A
IN
01
2141938
AETNA
IN
01
P01247212
MEDICARE RR
IN
Enumeration date
05/12/2006
Last updated
06/11/2021
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