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

Individual provider Physician Assistant · NPI 1477879492

Konan Eugene Kouassi, PHYSICIANASSISTANT is a Physician Assistant in Southfield, Michigan. Qualified in 2008, 18 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
18
Licensed in
MI
In the registry since
2010
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Practice location Address checks out

23077 Greenfield Rd Ste 485
Southfield, MI 48075
Phone: (248) 552-9050
Fax: (248) 552-1290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 28050 Grand River Ave, Farmington Hills, MI 48336-5919 — (947) 521-8196

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005325 (MI)

Record details

NPI number1477879492
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedApril 15, 2010
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Southfield