Dr. Nivedha Balaji, DO
Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts
1245980747- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-856-2903
- Fax
- —
- Last updated
- June 8, 2026
Nivedha Balaji is a Student in an Organized Health Care Education/Training Program based in Worcester, MA. Nivedha Balaji practices in Worcester, MA and has the professional credentials of DO. The NPI Number for Nivedha Balaji is 1245980747 and holds a License No. 3019368 (MA). The current practice location address for Nivedha Balaji is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-856-2903.
Provider Profile Details
- NPI Number
- 1245980747
- Provider Name
- Nivedha Balaji
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-856-2903
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 27, 2022
- Last Update Date
- June 8, 2026
- Certification Date
- June 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-856-2903
Provider Business Mailing Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- MA
- Zip
- 01655-0002
License Information
- License Number
- 3019368
- License State
- MA
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Nivedha Balaji, DO?
The NPI number of Dr. Nivedha Balaji, DO is 1245980747. It was assigned on March 27, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Nivedha Balaji, DO?
Dr. Nivedha Balaji, DO is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MA under license number 3019368.
Where does Dr. Nivedha Balaji, DO practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-856-2903 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245980747 directly on the NPPES registry website.