Individual
DR. GHAZWAN ATTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 BIDDLE AVE, SUITE 100, WYANDOTTE, MI 48192-4650
(734) 246-5705
(734) 246-5750
Mailing address
2300 BIDDLE AVE, SUITE 100, WYANDOTTE, MI 48192-4650
(734) 246-5705
(734) 246-5750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
GA068489
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019037
MIDWEST MEDICAID
MI
01
—
0N33390
MEDICARE GROUP
—
01
—
0P31250
PTAN
—
01
—
1108280082
BCBS
MI
01
—
135459
CARE CHOICES
MI
01
—
383577843
TAX ID
MI
05
—
4431099
—
MI
01
—
H08166
HEALTH CHOICE
MI
01
—
P00001498
RAILROAD MEDICARE
MI
Enumeration date
10/24/2005
Last updated
03/31/2025
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