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

Dr. Antonious S Attallah, MD

Individual provider Internal Medicine Physician · NPI 1306081138

Dr. Antonious S Attallah, MD is an Interventional Cardiology in Roseville, Michigan. Qualified in 2006, 20 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group and accepts Medicare assignment. Licensed in Michigan and Texas.

Years since qualifying
20
Licensed in
MI, TX
In the registry since
2008
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

25195 Kelly Rd Ste A
Roseville, MI 48066-4909
Phone: (586) 775-4594
Fax: (586) 775-4506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 4301094176 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence BP10024918 (TX)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 4301094176 (MI)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 4301094176 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301094176 (MI)

Record details

NPI number1306081138
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2008
Last updated in NPPESMarch 2, 2015
Mailing address25195 Kelly Road, Suite A, Roseville, MI 48066-4909

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roseville