Provider Demographics
NPI:1831288950
Name:LIM, MIN YING (MD)
Entity Type:Individual
Prefix:DR
First Name:MIN
Middle Name:YING
Last Name:LIM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:10401 W THUNDERBIRD BLVD
Mailing Address - Street 2:BANNER SUN CITY INTENSIVISTS @ BOSWELL MEDICAL CENTER
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3004
Mailing Address - Country:US
Mailing Address - Phone:623-876-4744
Mailing Address - Fax:623-815-2931
Practice Address - Street 1:10401 W THUNDERBIRD BLVD
Practice Address - Street 2:BANNER SUN CITY INTENSIVISTS @ BOSWELL MEDICAL CENTER
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3004
Practice Address - Country:US
Practice Address - Phone:623-876-4744
Practice Address - Fax:623-815-2931
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2010-11-11
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Provider Licenses
StateLicense IDTaxonomies
AZ40179207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ137849OtherARIZONA MEDICARE FARGO PART B
NY01899930Medicaid
NY01899930Medicaid