Individual
DR. KOK H LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(317) 923-1787
(317) 962-0853
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01084540A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35061850L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039033
ANTHEM
OH
01
—
074790117
MEDICARE
IN
05
—
0851065
—
OH
05
—
300063942
—
IN
01
—
P0011966
RAILROAD MEDICARE
OH
Enumeration date
07/05/2006
Last updated
02/24/2023
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