Individual
VIVEK BALUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 MICHIGAN ST NE, SUITE 3003, GRAND RAPIDS, MI 49503-2514
(616) 267-2500
(616) 267-2501
Mailing address
9110 COLLEGE POINTE CT # MC845, FORT MYERS, FL 33919-3244
(239) 208-2212
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
4301102633
MI
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
P20581
MD
2084N0400X
Neurology Physician
04-48848
KS
2084N0400X
Neurology Physician
14954
ND
2084N0400X
Neurology Physician
18778
NH
2084N0400X
Neurology Physician
2017-01338
NC
2084N0400X
Neurology Physician
26126
MS
2084N0400X
Neurology Physician
35.132402
OH
2084N0400X
Neurology Physician
4301102633
MI
2084N0400X
Neurology Physician
MD191107
OR
2084N0400X
Neurology Physician
Primary
ME132291
FL
2084N0400X
Neurology Physician
MED-PHYS-LIC-76853
MT
2084N0400X
Neurology Physician
TM00763
TX
2084V0102X
Vascular Neurology Physician
2017-01338
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538205539
—
MI
05
—
3116042
—
NH
05
—
62004271
—
CO
Enumeration date
01/29/2007
Last updated
11/12/2025
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