Organization
DJON INDRA LIM, M.D. FACP, INC.
Active
Parent organization
DJON INDRA LIM, M.D. FACP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DJON INDRA LIM, M.D. FACP, INC.
Authorized official
DR. DJON INDRA LIM M.D. (PRESIDENT)
(808) 969-3884
Entity
Organization
Contact information
Practice address
101 AUPUNI ST., SUITE 140, HILO, HI 96720-4265
(808) 969-3884
(808) 969-3887
Mailing address
101 AUPUNI ST., SUITE 140, HILO, HI 96720-4265
(808) 969-3884
(808) 969-3887
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD2282
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03524301
—
HI
01
—
A0038933
HMSA
HI
Enumeration date
01/06/2012
Last updated
01/06/2012
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