National Provider Identifier
Vidush Philip Athyal, MD, MPH
Vidush Philip Athyal, MD, MPH is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 279-4720.
Profile Overview
- NPI
- 1184645095
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 23, 2006
- Last Updated
- December 03, 2021
Practice Location
- 777 Clinton Ave S
- Suite 500
- Rochester, NY 14620-1448
Phone: (585) 279-4720
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1184645095
- Entity Type
- Individual
- Last Name
- Athyal
- First Name
- Vidush
- Middle Name
- Philip
- Name Prefix
- Dr.
- Credential
- MD, MPH
- Mailing Street Address
- 777 Clinton Ave S
- Mailing Address Line 2
- Suite 500
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-1448
- Mailing Country
- US
- Mailing Phone
- (585) 279-4720
- Mailing Fax
- (585) 279-4725
- Practice Street Address
- 777 Clinton Ave S
- Practice Address Line 2
- Suite 500
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1448
- Practice Country
- US
- Practice Phone
- (585) 279-4720
- Practice Fax
- (585) 279-4725
- Enumeration Date
- July 23, 2006
- Last Updated
- December 03, 2021
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Family Medicine Physician (207Q00000X)