Provider Demographics
NPI:1649534918
Name:GOMEZ, JOHNSON LIM (MD)
Entity type:Individual
Prefix:DR
First Name:JOHNSON
Middle Name:LIM
Last Name:GOMEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:671 HIOAKS RD STE B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4072
Mailing Address - Country:US
Mailing Address - Phone:804-272-5814
Mailing Address - Fax:804-560-0232
Practice Address - Street 1:7001 W BROAD ST STE A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-3701
Practice Address - Country:US
Practice Address - Phone:804-673-2722
Practice Address - Fax:804-282-5723
Is Sole Proprietor?:No
Enumeration Date:2012-07-01
Last Update Date:2024-09-29
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Provider Licenses
StateLicense IDTaxonomies
VA0101257251207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine