Individual
CARLA MICHELLE BASSAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-8360
Mailing address
455 SAINT MICHAELS DR, PHYSICIAN PRACTICES, SANTA FE, NM 87505-7601
(505) 989-6130
(505) 820-5408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17774
PR
207R00000X
Internal Medicine Physician
Primary
MD2010-0482
NM
Other
Enumeration date
10/20/2009
Last updated
10/28/2024
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