Basic Information
Provider Information
NPI: 1083920888
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PIRACHA
FirstName: BILAL
MiddleName: HUSSAIN
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 21175 TOMBALL PKWY # 504
Address2:  
City: HOUSTON
State: TX
PostalCode: 770701655
CountryCode: US
TelephoneNumber: 2145061136
FaxNumber: 2147053786
Practice Location
Address1: 3300 NW EXPRESSWAY
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731124418
CountryCode: US
TelephoneNumber: 4057137403
FaxNumber: 4057132794
Other Information
ProviderEnumerationDate: 08/31/2010
LastUpdateDate: 03/11/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/11/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XMD35917ALN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XR6459TXN Allopathic & Osteopathic PhysiciansEmergency Medicine 
208M00000X29802OKN Allopathic & Osteopathic PhysiciansHospitalist 
207Q00000XR6459TXY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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