ATHAR GHANNAM, MD

Family Medicine

Active Individual
NPI: 1295351500

Practice Address

3235 E MICHIGAN AVE STE 100
Jackson, MI 49202

Phone: (517) 205-3280

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 4301509386 (MI)

Frequently Asked Questions

NPI 1295351500 is the National Provider Identifier for ATHAR GHANNAM, MD, a Family Medicine provider located in Jackson, MI. This NPI was enumerated on June 23, 2020.
ATHAR GHANNAM, MD practices at 3235 E MICHIGAN AVE STE 100, Jackson, MI 49202.

Quick Facts

NPI
1295351500
Type
Individual
Enumerated
Jun 23, 2020
Last Updated
Nov 7, 2023

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