Mikhail Vydrin is a Sleep Medicine in Worcester, Massachusetts. Mikhail Vydrin practices all healthcare services and medical treatments related to Sleep Medicine. 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 2005-12-12 |
| Last Updated Date | 2020-12-15 |
Provider Mailing Address Detail
| Address | 55 Lake Ave N |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16550002 |
| Phone Number | 5083342527 |
| Fax Number | 5083346778 |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 2084S0012X |
| Licence No | 153858 |
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Definition: A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorder |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 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 Sleep Medicine, and it falls under the taxonomy code 2084S0012X, 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
Address: 675 E Highway 60, Hardinsburg, KY