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Individual

KHENG LEONG LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 SPRUCE STREET, PHILADELPHIA, PA 19107-6130
(215) 829-3201
Mailing address
800 SPRUCE STREET, PHILADELPHIA, PA 19107-6130
(215) 829-3201

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
C7-0002918
DE
2085R0202X
Diagnostic Radiology Physician
D68791
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD439563
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022639400
MD
Enumeration date
02/25/2007
Last updated
11/28/2011
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