=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144213877
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BEE MIN LIM MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/29/2005
-----------------------------------------------------
Last Update Date | 01/22/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16 COLONIAL DR
-----------------------------------------------------
City | YOUNGSTOWN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44505-2137
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-759-8545
-----------------------------------------------------
Fax | 330-759-8543
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16 COLONIAL DR
-----------------------------------------------------
City | YOUNGSTOWN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44505-2137
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-759-8545
-----------------------------------------------------
Fax | 330-759-8543
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208C00000X
-----------------------------------------------------
Taxonomy Name | Colon & Rectal Surgery Physician
-----------------------------------------------------
License Number | 35-04-4135-L
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208C00000X
-----------------------------------------------------
Taxonomy Name | Colon & Rectal Surgery Physician
-----------------------------------------------------
License Number | MD026915E
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 208C00000X
-----------------------------------------------------
Taxonomy Name | Colon & Rectal Surgery Physician
-----------------------------------------------------
License Number | 01029305A
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------