Provider Demographics
NPI:1578579769
Name:LIM, ESTHER H (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:H
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:HAE
Other - Middle Name:KANG
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1420 LOCUST ST APT 11J
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-4208
Mailing Address - Country:US
Mailing Address - Phone:972-207-0803
Mailing Address - Fax:
Practice Address - Street 1:3900 WOODLAND AVE
Practice Address - Street 2:NUCLEAR MEDICINE, PHILADELPHIA VA MEDICAL CENTER #115
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4551
Practice Address - Country:US
Practice Address - Phone:215-823-4644
Practice Address - Fax:215-823-4312
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301076986207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy