Individual
MOHAMMAD KARBASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 S MAIN ST, SUITE D, LONGMONT, CO 80501-1716
(303) 772-3611
(303) 772-3609
Mailing address
205 S MAIN ST, SUITE D, LONGMONT, CO 80501-1716
(303) 772-3611
(303) 772-3609
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
44707
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44707
MEDICAL LICENSE
CO
01
—
5476659
AETNA
—
01
—
841353910
TOTAL LONG TERM CARE
CO
01
—
841353910002
ROCKY MOUNTAIN HMO
CO
01
—
931468
EYE SPECIALISTS
CO
01
—
KAM4707
ANTHEM BS
—
01
—
SS#841353910
VSP
—
Enumeration date
06/19/2006
Last updated
01/18/2016
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