Mikhail Vydrin is a Neurology in Worcester, Massachusetts. Mikhail Vydrin practices all healthcare services and medical treatments related to Neurology. The NPI Number for Mikhail Vydrin is 1972588077. The last update date is 2020-12-15.
Mikhail Vydrin's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5083342527 and fax number 5083346778. The mailing address for Mikhail Vydrin is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mikhail Vydrin |
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Address | 55 Lake Ave N, Worcester, Massachusetts |
Phone Number | 5083342527 |
Fax Number | 5083346778 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1972588077 |
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Provider Enumeration Date | 2005-12-12 |
Last Updated Date | 2020-12-15 |
Provider Mailing Address Detail
Address | 55 Lake Ave N |
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City | Worcester |
State | Massachusetts (MA) |
Post Code | 16550002 |
Phone Number | 5083342527 |
Fax Number | 5083346778 |
Provider's Primary Taxonomy Detail
Speciality | Neurology |
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Taxonomy | 2084N0400X |
Licence No | 153858 |
Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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3171965 | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mikhail Vydrin?
The Mikhail Vydrin has been issued the NPI (National Provider Identifier) 1972588077 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mikhail Vydrin?
The Mikhail Vydrin is situated at 55 Lake Ave N, in the city of Worcester, state of MA, with the zip code 16550002.
What is the Mikhail Vydrin's area of specialization and corresponding taxonomy classification?
The Mikhail Vydrin's specialty field is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1972588077 to Mikhail Vydrin?
The Mikhail Vydrin received its 1972588077 assignment from the Centers for Medicare & Medicaid Services on 2005-12-12.
When was the information related to Mikhail Vydrin most recently updated or refreshed?
The details pertaining to the Mikhail Vydrin, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-12-15.
NPI Number: 1720081763
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