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

Shabnam Shidfar, PA

Individual provider Physician Assistant · NPI 1205001021

Shabnam Shidfar, PA is a Physician Assistant in Ann Arbor, Michigan. Qualified in 2007, 19 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1500 E Medical Center Dr 2nd Fl Taubman Ctr Recp B
Ann Arbor, MI 48109-0348
Phone: (734) 936-5851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005189 (MI)

Record details

NPI number1205001021
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 23, 2008
Last updated in NPPESApril 23, 2008
Mailing address3621 S State St, 700 Kms Place, Ann Arbor, MI 48108

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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