Organization
ISTISHFA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILALA PIRACHA M.D. (PHYSICIAN/OWNER)
(405) 601-6181
Entity
Organization
Contact information
Practice address
15520 MONARCH LN, EDMOND, OK 73013-1134
(405) 601-6181
(405) 601-7012
Mailing address
15520 MONARCH LN, EDMOND, OK 73013-1134
(405) 601-6181
(405) 601-7012
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
29802
OK
207Q00000X
Family Medicine Physician
Primary
29802
OK
208M00000X
Hospitalist Physician
29802
OK
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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