Provider Demographics
NPI:1114218088
Name:LIM,, TOH-HOAI W I (MD)
Entity Type:Individual
Prefix:
First Name:TOH-HOAI
Middle Name:W
Last Name:LIM,
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24407 S AGATE DR
Mailing Address - Street 2:
Mailing Address - City:SUN LAKES
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-0878
Mailing Address - Country:US
Mailing Address - Phone:480-883-8262
Mailing Address - Fax:
Practice Address - Street 1:24407 S AGATE DR
Practice Address - Street 2:
Practice Address - City:SUN LAKES
Practice Address - State:AZ
Practice Address - Zip Code:85248-0878
Practice Address - Country:US
Practice Address - Phone:480-883-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-044030207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine