Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Tymur Vietrov, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417871161

Mr. Tymur Vietrov, MD is a Student in an Organized Health Care Education/Training Program in Poughkeepsie, New York. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

45 Reade Place Vassar Brothers Medical Ctr
Poughkeepsie, NY 12601
Phone: (845) 790-1301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417871161
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 6, 2026
Last updated in NPPESAugust 6, 2026

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