Individual
RULA S BALLUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0976
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
MD440633
PA
208000000X
Pediatrics Physician
MD440633
PA
2080P0202X
Pediatric Cardiology Physician
Primary
0101287304
VA
2080P0202X
Pediatric Cardiology Physician
MD440633
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255363578
GROUP NPI #/ST CHRIS PED ASSOCIATES
PA
01
—
5E7442
EMPIRE BC.BS
NY
Enumeration date
06/01/2006
Last updated
10/28/2025
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