Physician Assistant
AMENA AL-KHAFAJI
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1457850380 · enumerated 2018-02-06 · record updated 2026-04-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1158 FORT ST, LINCOLN PARK, MI, 48146-1840 Google Maps Apple Maps OpenStreetMap
- Practice location 1158 FORT ST, LINCOLN PARK, MI, 48146-1840 (313) 925-3325 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 5601011749 MI
- Behavior Technician 106S00000X
- Technician, Other 247200000X
In this directory
Locations and evidence
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Practice location
LINCOLN PARK, MI, 481461840
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.