Individual
DR. BASSIM KOBROSSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 536-4189
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
35516
IA
207RX0202X
Medical Oncology Physician
Primary
17244
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434035
—
IA
Enumeration date
10/21/2005
Last updated
05/12/2021
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