Provider Demographics
NPI:1205936143
Name:BELITSKY, LYUBA (MD)
Entity type:Individual
Prefix:DR
First Name:LYUBA
Middle Name:
Last Name:BELITSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 W CHANDLER BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3358
Mailing Address - Country:US
Mailing Address - Phone:480-899-0350
Mailing Address - Fax:480-899-0351
Practice Address - Street 1:5700 W CHANDLER BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-3358
Practice Address - Country:US
Practice Address - Phone:480-899-0350
Practice Address - Fax:480-899-0351
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35776207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ191983-01Medicaid