Provider Demographics
NPI:1467497545
Name:MOHAMMAD KARBASSI, M.D., P.C.
Entity Type:Organization
Organization Name:MOHAMMAD KARBASSI, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KARBASSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-238-2212
Mailing Address - Street 1:2519 RAYMOND PL
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-1020
Mailing Address - Country:US
Mailing Address - Phone:406-238-2212
Mailing Address - Fax:406-238-2871
Practice Address - Street 1:1155 ALPINE AVE
Practice Address - Street 2:#270
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3495
Practice Address - Country:US
Practice Address - Phone:303-440-5033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44707207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty