Basic Information
| Provider Information | |||||||||
| NPI: | 1831149152 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LIM | ||||||||
| FirstName: | RENE | ||||||||
| MiddleName: | MICHAEL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 GREAT CIRCLE RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372281317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152844672 | ||||||||
| FaxNumber: | 6152845752 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 CHURCH ST | ||||||||
| Address2: | IP-HOSPITALIST | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372011613 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152844672 | ||||||||
| FaxNumber: | 6152845752 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2006 | ||||||||
| LastUpdateDate: | 10/17/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 38121 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 38121 | TN | N | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 4341288 | 01 | TN | AETNA | OTHER | 38895621 | 05 | TN | MEDICAID | 4177404 | 01 | TN | BLUE CROSS BLUE SHIELD | OTHER | P00666345 | 01 | TN | RR MEDICARE | OTHER | 1515612 | 05 | TN | MEDICAID | 3889562 | 05 | TN | MEDICAID |