Provider Demographics
NPI:1932457546
Name:GHASSAN A ATTO MD PLLC
Entity type:Organization
Organization Name:GHASSAN A ATTO MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:GHASSAN
Authorized Official - Middle Name:AMIR
Authorized Official - Last Name:ATTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-383-7071
Mailing Address - Street 1:11275 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-3380
Mailing Address - Country:US
Mailing Address - Phone:313-383-7071
Mailing Address - Fax:313-383-7194
Practice Address - Street 1:11275 ALLEN RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-3380
Practice Address - Country:US
Practice Address - Phone:313-383-7071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301088808207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty