P Praxis·MD
● Active Type 1 · Individual

Sarah Shanti Fazel

Specialist·Boise, ID· NPI 1346821311 · Enumerated 2021 · 5 years on NPI
Fazel is 1 of 67 specialist providers in Boise and 1 of 305 in Idaho.
NPI age
5 years
Enumerated 2021-04-20
Primary specialty
Specialist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-04-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 305 active specialist providers in Idaho.

NPI age
5 years
↓ 13 yr below median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-04Enumerated in NPPES
2021 2026

Where they practice

Practice location
Idaho Department Of Health And Welfare, 1720 Westgate Dr. Suite D
Boise, ID 83704
📞 2083340921
Mailing address
219 S Diamond St
Nampa, ID 836865315
📞 2089651955

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    taxonomy 174400000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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