National Provider Identifier
Fnu N/A Vishal
Fnu N/A Vishal is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (058) 592-2400.
Profile Overview
- NPI
- 1205520079
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- June 06, 2023
- Last Updated
- December 04, 2025
Practice Location
- 100 Kings Hwy S Ste 2525
- Rochester, NY 14617-5504
Phone: (058) 592-2400
Mailing Address
- Norton Im Residency Clinic
- 96 15Th Street.Nw, Suit 111
- Norton, VA 24273
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1205520079
- Entity Type
- Individual
- Last Name
- Vishal
- First Name
- Fnu
- Middle Name
- N/A
- Mailing Street Address
- Norton Im Residency Clinic
- Mailing Address Line 2
- 96 15Th Street.Nw, Suit 111
- Mailing City
- Norton
- Mailing State
- VA
- Mailing ZIP Code
- 24273
- Mailing Country
- US
- Mailing Phone
- (276) 439-1872
- Practice Street Address
- 100 Kings Hwy S Ste 2525
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-5504
- Practice Country
- US
- Practice Phone
- (058) 592-2400
- Enumeration Date
- June 06, 2023
- Last Updated
- December 04, 2025
- Deactivation Date
- July 24, 2025
- Reactivation Date
- December 04, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 30, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), Student in an Organized Health Care Education/Training Program (390200000X)