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

Fariba Imran

Individual provider Nurse Practitioner · NPI 1558814020

Fariba Imran is a Nurse Practitioner in Royal Oak, Michigan. Qualified in 2016, 10 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
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Practice location Address checks out

3601 W 13 Mile Rd Ste EC
Royal Oak, MI 48073-6712
Phone: (248) 898-0575
Fax: (248) 898-4671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2822 Colonial Trl, Bloomfield Hills, MI 48304-1616 — (248) 977-2810

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704276321 (MI)

Record details

NPI number1558814020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2016
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Royal Oak