Individual provider · NPI-1
Immanjot Bassi, MD
Family Medicine · Bismarck, ND
NPI number1912744673
StatusActive
Last updated in NPPESJul 10, 2024
Details
- NPI
- 1912744673
- Entity type
- Individual (NPI-1)
- Name
- Immanjot Bassi
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2024
- Certification date
- Jul 10, 2024
- Last updated
- Jul 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | RL21170 | ND | Yes |
Practice location
701 E Rosser AveBismarck, ND 58501-4457
Phone 701-751-9500 · Fax 701-751-9508
Mailing address
701 E Rosser AveBismarck, ND 58501-4457
Phone 701-751-9500 · Fax 701-751-9508
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