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Search › Idaho › 172V00000X

Shukuru Gasana

NPI 1639088859 · on the registry since 2026 · sole proprietor

Practice

Address
9428 W Fairview Ave
Boise, ID 83704
Phone
(986) 301-0460
Organisation at this address
Free Minds Llc
Pls Care Impact Llc
Dumu Psychiatry Llc
Optimal Care Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho