Individual
HILAL MAHMOOD FANASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4400 E FLAMINGO AVE STE 130, NAMPA, ID 83687-9203
(208) 205-0350
(208) 205-0356
Mailing address
7750 S BROADWAY, LITTLETON, CO 80122-2623
(303) 734-2090
(303) 734-2095
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
04-49199
KS
207RH0003X
Hematology & Oncology Physician
CDRH.0061344
CO
207RH0003X
Hematology & Oncology Physician
K1430
TX
207RH0003X
Hematology & Oncology Physician
Primary
MC-2502
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122170708
—
TX
Enumeration date
04/04/2007
Last updated
03/31/2025
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