Provider Demographics
NPI:1215919428
Name:LIM, KEE-HAK (MD)
Entity type:Individual
Prefix:DR
First Name:KEE-HAK
Middle Name:
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:BETH ISRAEL DEACONESS MEDICAL CENTER
Mailing Address - Street 2:330 BROOKLINE AVE. KS338
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-667-4507
Mailing Address - Fax:617-667-1459
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:KS338
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-4507
Practice Address - Fax:617-667-1459
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2022-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME120276207VM0101X
MA161015207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3200141Medicaid
FL114200900Medicaid
FL14V9POtherBCBS