Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKHAIL VYDRIN, M.D.
ActiveNeurology · WORCESTER, MA
Registration Details
- NPI Number
- 1972588077
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2005 (20.356928063348 yrs)
- Last Updated
- Dec 15, 2020
- Licenses
-
153858 (MA)153858 (MA)
Practice Information
- Address
-
55 LAKE AVE NDEPARTMENT OF NEUROLOGYWORCESTER, MA, 016550002Browse MA providers · Browse ZIP 01655
- Phone
- 5083342527
- Fax
- 5083346778
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Neurology
Other Neurology Providers in WORCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| DR. SEEMA ADHAMI | M.D. | 1639169063 |
| GARY R KEILSON | MD | 1508857707 |
| LAWRENCE J HAYWARD | M.D. | 1104807767 |
| MUHAMMAD RAMZAN | M.D. | 1801877329 |
| MARTHA A FEHR | MD | 1891777405 |
| EDWARD I GINNS | M.D. PHD. | 1588646905 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.