Individual
MARIJU FLEUR BALUYOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR RM 1803, INDIANAPOLIS, IN 46202-5109
(317) 944-1952
Mailing address
705 RILEY HOSPITAL DR RM 1803, INDIANAPOLIS, IN 46202-5109
(317) 944-1952
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01086135A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
01086135A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
293954
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001552255
ANTHEM PTAN
IN
01
—
000001552268
ANTHEM PTAN
IN
05
—
300051761
—
IN
Enumeration date
03/24/2015
Last updated
02/26/2025
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