Provider Demographics
NPI:1174866404
Name:BDOYAN, LUIZA BELLA (MD)
Entity type:Individual
Prefix:DR
First Name:LUIZA
Middle Name:BELLA
Last Name:BDOYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LUIZA
Other - Middle Name:
Other - Last Name:BALABANYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5300 N. MEADOWS DR
Mailing Address - Street 2:STE 7023
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2546
Mailing Address - Country:US
Mailing Address - Phone:614-663-4242
Mailing Address - Fax:614-663-4940
Practice Address - Street 1:5300 N. MEADOWS DR
Practice Address - Street 2:STE 7023
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2546
Practice Address - Country:US
Practice Address - Phone:614-663-4242
Practice Address - Fax:614-663-4940
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35128046207R00000X
390200000X
OH128046207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program