Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Athar Ghannam, MD

Individual provider Family Medicine Physician · NPI 1295351500

Athar Ghannam, MD is a Family Practice in Jackson, Michigan. Qualified in 2015, 11 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3235 E Michigan Ave Ste 100
Jackson, MI 49202-3971
Phone: (517) 205-3280
Fax: (517) 205-1181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • G3230 Beecher Rd Ste 1, Flint, MI 48532-3604 — (810) 342-5656

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301509386 (MI)

Record details

NPI number1295351500
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023
Mailing address3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare

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