Gan Lim, Leonil A.

Gan Lim, Leonil A. is an individual health care provider with primary practice located at 670 Crossover Rd , Tupelo MS 38801-4944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gan Lim, Leonil A. can be contacted via phone (662) 844-8414.

Contact Information

Primary practice address
670 Crossover Rd Tupelo MS 38801-4944
Phone: (662) 844-8414
Fax: (662) 844-8275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 15618 Mississippi

Profile Details

NPI number 1962512590
LBN Legal business name Gan Lim, Leonil A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 25th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962512590 NPPES
Mississippi MEDICAID 00118781
Mississippi Other CHO754
Mississippi Other 110234746

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