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

Shirin Koudsi

Individual provider Physician Assistant · NPI 1891467155

Shirin Koudsi is a Physician Assistant in Bloomfield Hills, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

2337 Heronwood Dr
Bloomfield Hills, MI 48302-0835
Phone: (850) 450-9788
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010857 (MI)

Record details

NPI number1891467155
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 4, 2021
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address2337 Heronwood Dr, Bloomfield Hills, MI 48302-0835

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