Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Iman NP Center LLC

Organization Clinic/Center · NPI 1124393202

Iman NP Center LLC is a Clinic/Center in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

26771 W 12 Mile Rd Ste 101
Southfield, MI 48034-1539
Phone: (248) 595-8536
Fax: (248) 809-2043
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Primary Care Nurse Practitioner Taxonomy 363LP2300X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1124393202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Veronica Shivachi-Williams — Nurse Practitioner · (248) 595-8536
Other names Iman Nurse Practitioner Center
NPI enumeratedMarch 21, 2012
Last updated in NPPESAugust 6, 2012
Mailing address26771 W 12 Mile Rd, Suite 101, Southfield, MI 48034-1539

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