NPI age
19 years
Enumerated 2007-04-04
● Active
Type 1 · Individual
Hilal Mahmood Fanasch, MD
Fanasch is 1 of 3 internal medicine providers in Nampa and 1 of 48 in Idaho.
Primary specialty
Internal Medicine
Plus 3 subspecialties
Licensed in
ID, CO, KS, TX
4 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 48 active internal medicine providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
4 states
Top 68% — 31% of peers are multi-state
Subspecialties
0
52% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
4400 E Flamingo Ave Ste 130
Nampa, ID 836879203
Mailing address
7750 S Broadway
Littleton, CO 801222623
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
602 Indiana Ave, Southwest Cancer Center
Lubbock, TX 794153364
Location 3
7750 S Broadway
Littleton, CO 801222623
Specialties
-
Internal Medicine PrimaryAn internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 122170708 |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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