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General NPI Number Information
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NPI Number | 1932457546
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Entity Type | Organization
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Legal Business Name | GHASSAN A ATTO MD PLLC
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 11275 ALLEN RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-3380
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Country | US
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Telephone | 313-383-7071
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Fax |
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Provider Business Mailing Address
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Address Line | 11275 ALLEN RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-3380
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Country | US
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Telephone | 313-383-7071
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Fax | 313-383-7194
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Authorized Official
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Title or Position | MD
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Name | GHASSAN AMIR ATTO
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Credential | MD
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Telephone | 313-383-7071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301088808
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License Number State | MI
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