MEDICARE: DR. LUIZA BELLA BDOYAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35128046	OH
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	128046	OH

General Provider Information

NPI Number	:	1174866404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIZA BELLA BDOYAN MD

Provider Business Mailing Address
First Line	:	5300 N. MEADOWS DR
Second Line	:	STE 7023
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2546
Country	:	US
Telephone Number	:	614-663-4242
Fax Number	:	614-663-4940

Provider Business Practice Location Address
First Line	:	5300 N. MEADOWS DR
Second Line	:	STE 7023
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2546
Country	:	US
Telephone Number	:	614-663-4242
Fax Number	:	614-663-4940

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2013
Last Update Date	:	04/30/2021

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Directions to “ DR. LUIZA BELLA BDOYAN MD” Practice Location

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