Provider Demographics
NPI:1548450083
Name:LIM, CHIN HONG (MB BCH BAO)
Entity type:Individual
Prefix:
First Name:CHIN HONG
Middle Name:
Last Name:LIM
Suffix:
Gender:M
Credentials:MB BCH BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 W UNIVERSITY PKWY
Mailing Address - Street 2:THE BROADVIEW APARTMENTS 31034
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-3305
Mailing Address - Country:US
Mailing Address - Phone:443-801-1720
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:BLALOCK 655
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-0834
Practice Address - Fax:410-955-0834
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program