# ISTISHFA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164894499
- **Authorized official:** DR. BILALA PIRACHA M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (405) 601-6181

## Contact information

- **Practice address:** 15520 MONARCH LN, EDMOND, OK 73013-1134
- **Practice address phone:** (405) 601-6181
- **Practice address fax:** (405) 601-7012
- **Mailing address:** 15520 MONARCH LN, EDMOND, OK 73013-1134
- **Mailing address phone:** (405) 601-6181
- **Mailing address fax:** (405) 601-7012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 29802 | OK | — |
| 207Q00000X | Family Medicine Physician | 29802 | OK | Yes |
| 208M00000X | Hospitalist Physician | 29802 | OK | — |

## Other

- **Enumeration date:** 10/26/2015
- **Last updated:** 10/26/2015
