Healthcare Provider Details

I. General information

NPI: 1134378854
Provider Name (Legal Business Name): AMIR JUNDI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14716 W WARREN AVE
DEARBORN MI
48126-1347
US

IV. Provider business mailing address

PO BOX 4236
SOUTHFIELD MI
48037-4236
US

V. Phone/Fax

Practice location:
  • Phone: 248-215-0048
  • Fax:
Mailing address:
  • Phone: 248-215-0048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number4301098599
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: