Provider Demographics
NPI:1457989097
Name:HIRZEL, BIANKA MONIQUE (DO)
Entity Type:Individual
Prefix:
First Name:BIANKA
Middle Name:MONIQUE
Last Name:HIRZEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 OLENTANGY RIVER ROAD
Mailing Address - Street 2:GROUND/YELLOW
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214
Mailing Address - Country:US
Mailing Address - Phone:614-566-5757
Mailing Address - Fax:614-566-2338
Practice Address - Street 1:3535 OLENTANGY RIVER ROAD
Practice Address - Street 2:GROUND/YELLOW
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214
Practice Address - Country:US
Practice Address - Phone:614-566-5757
Practice Address - Fax:614-566-2338
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58031478207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology