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NPI 1003058405

IndividualActive

Marianna Shimonova, M.D.

NPI 1003058405 · Psychiatry Physician · Southfield, MI

Provider details

NPI number: 1003058405
Entity type: Individual
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Female
Sole proprietor: Yes
License: 4301116893 (MI)

Practice location

15900 W 10 Mile Rd Ste 202

Southfield, MI 48075-2079

Phone: (248) 780-9110

More MI providers

Mailing address

18000 W 9 Mile Rd Ste 200

Southfield, MI 48075-4020

Registry dates

Enumerated: 2009-03-31
Last updated: 2026-05-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Marianna Shimonova, M.D. — NPI 1003058405, Southfield, MI | NPI Central