Individual
JONATHAN LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5601 LOCH RAVEN BLVD STE 3N, BALTIMORE, MD 21239-2945
(443) 444-3775
(443) 444-4678
Mailing address
5601 LOCH RAVEN BLVD STE 3N, BALTIMORE, MD 21239-2945
(443) 444-3775
(443) 444-4678
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0088157
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0088157
STATE OF MARYLAND DEPARTMENT OF HEALTH
MD
Enumeration date
05/17/2016
Last updated
06/24/2021
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