| Bonafide Care PLLC | |
|
1158 Fort St Lincoln Park MI 48146-1840 | |
| (313) 925-3325 | |
| Not Available |
| Full Name | Bonafide Care PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1158 Fort St, Lincoln Park, Michigan |
| Authorized Official Name and Position | Diana El Masri (BILLING MANAGER) |
| Authorized Official Contact | 2482150048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonafide Care PLLC 1158 Fort St Lincoln Park MI 48146-1840 | Bonafide Care PLLC 1158 Fort St Lincoln Park MI 48146-1840 Ph: (313) 925-3325 |
| NPI Number | 1952279754 |
|---|---|
| Provider Enumeration Date | 10/24/2025 |
| Last Update Date | 12/11/2025 |
| Certification Date | 12/11/2025 |
| Medicare PECOS PAC ID | 7810481207 |
|---|---|
| Medicare Enrollment ID | O20251212001741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952279754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Secondary |
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Amir Jundi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134378854 PECOS PAC ID: 5799960456 Enrollment ID: I20110805000031 |
| Provider Name | Amena Falah Al-khafaji |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457850380 PECOS PAC ID: 1456707462 Enrollment ID: I20231027000956 |
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