Fanasch, Hilal Mahmood

Fanasch, Hilal Mahmood is an individual health care provider with primary practice located at 4400 E Flamingo Ave Ste 130 , Nampa ID 83687-9203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Fanasch, Hilal Mahmood can be contacted via phone (208) 205-0350.

Contact Information

Primary practice address
4400 E Flamingo Ave Ste 130 Nampa ID 83687-9203
Phone: (208) 205-0350
Fax: (208) 205-0356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X CDRH.0061344 Colorado
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 04-49199 Kansas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X K1430 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MC-2502 Idaho

Profile Details

NPI number 1295857720
LBN Legal business name Fanasch, Hilal Mahmood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Apr 19th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295857720 NPPES
Texas MEDICAID 122170708

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