Provider Demographics
NPI:1629237607
Name:CHUA, DEBORAH YVETTE LIM (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH YVETTE
Middle Name:LIM
Last Name:CHUA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBORAH YVETTE
Other - Middle Name:CHAO
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:123 WILLIAM ST
Mailing Address - Street 2:15TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-3804
Mailing Address - Country:US
Mailing Address - Phone:212-227-3688
Mailing Address - Fax:212-227-3368
Practice Address - Street 1:123 WILLIAM ST
Practice Address - Street 2:15TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3804
Practice Address - Country:US
Practice Address - Phone:212-227-3688
Practice Address - Fax:212-227-3368
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY259648207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology