Active NPIIndividual providerSole proprietor

Shelly A Im, MD

Internal Medicine, Endocrinology, Diabetes & Metabolism in Greenwich, Connecticut

NPI Number1740496470
Practice location
500 W Putnam Ave Ste 435, Greenwich, CT 06830-6000
Fax
646-974-9714
Last updated
October 17, 2024

Shelly Ahn Im is an Internal Medicine, Endocrinology, Diabetes & Metabolism based in Greenwich, CT. Shelly Ahn Im practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Shelly Ahn Im is 1740496470 and holds a License No. 238571 (NY). The current practice location address for Shelly Ahn Im is 500 W Putnam Ave Ste 435, Greenwich, CT 06830-6000 and can be reached out via phone at 475-335-8692 and via fax at 646-974-9714.

Provider Profile Details

NPI Number
1740496470
Provider Name
Shelly Ahn Im
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
500 W Putnam Ave Ste 435, Greenwich, CT 06830-6000
Phone Number
475-335-8692
Fax Number
646-974-9714
Sole Proprietor
Yes
Provider Enumeration Date
May 16, 2007
Last Update Date
October 17, 2024
Certification Date
October 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 W Putnam Ave Ste 435
Greenwich, CT 06830-6000
Zip
06830-6000
Phone Number
475-335-8692
Fax Number
646-974-9714
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
500 W Putnam Ave Ste 435
Greenwich, CT 06830-6000
City
Greenwich
State
CT
Zip
06830-6000
Phone Number
475-335-8692
Fax Number
646-974-9714

License Information

License Number
238571
License State
NY

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shelly A Im, MD?

The NPI number of Shelly A Im, MD is 1740496470. It was assigned on May 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Shelly A Im, MD?

Shelly A Im, MD is registered under the primary taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism (code 207RE0101X), licensed in NY under license number 238571.

Where does Shelly A Im, MD practice?

The practice location is 500 W Putnam Ave Ste 435, Greenwich, CT 06830-6000. The office can be reached at 475-335-8692 (phone) or 646-974-9714 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740496470 directly on the NPPES registry website.

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