Same-day Primary Care in Philadelphia
Prevent disease, enhance your quality of life, and stay in control of your health.
As seen in
Get health care that fits your needs
With Dr. Ash, you gain a trusted partner dedicated to empowering your journey toward better health and well-being.
Consults As Needed
Zero-wait times with same day options
Text, voice, or video access to your doctor
Same-day responsiveness
Manage most health concerns without a referral
Labs, imaging, and top specialists covered by insurance
30 to 90 min consults, plus 14 days of unlimited follow-ups
Preventive Care Membership
Everything in the As-Needed Consults, plus:
Preventive adult primary care using evidence‑based and integrative tools
Comprehensive review of your health story, family history, genetics, and wearable data
Proactive coordination with your specialists and trusted local resources
Support across the healthcare system, including hospitalization communication
Unlimited secure texting and consultations
Priority responsiveness and expanded same‑day availability
How Fishtown Medicine Works
Time That Actually Matters
60-90 minute initial visits. Unlimited messaging. Same-day or next-day availability. We're here to listen.
Evidence-Based Integrative
The best of all approaches, backed by science. Nutrition, lifestyle interventions, and exercise physiology.
Root Cause Treatment
Advanced metabolic, hormonal, and inflammatory testing. We find root causes - not just treat symptoms.
Coordinated Care
We coordinate behind the scenes - getting specialist input so you're not bouncing from doctor to doctor. One team, less hassle.
Care That Adapts to You
Virtual visits, home visits, or just text me. Your care fits your life, not the other way around.
Your Decision, Your Control
We present options honestly - what works, what doesn't, what's uncertain. We don't sell supplements or push products.
What We Focus On
We deliver comprehensive primary care that meets you where you are - and supports where you’re going next.
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Comprehensive evaluations and healthspan optimization, genetics, advanced imaging, and proactive cancer screening.
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Body composition, metabolic resistance, physiologic performance
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Stress, recovery, sleep, mood, anxiety, performance, relationships
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Thyroid, testosterone, PCOS, perimenopause, sexual health, gender affirmation
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Blood pressure, cholesterol, advanced cardiac risk
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Autoimmune conditions, chronic inflammation
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IBS, reflux, gut-brain connection, food sensitivities, dysautonomia
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Infections, injuries, urgent concerns - handled same-day. Yes, we're also here if you get sick.
Evidence-based preventive & integrative primary care in Philadelphia.
Schedule a complimentary call with Dr. Ash
Dr. Ash (Ashvin Vijayakumar MD)
Licensed in PA, NJ, DE, CT, NY & 43 states
Home visits in the Greater Phila Metro.
hello@fishtownmedicine.com
Fax: (215) 610-8327
Text/Call: (267) 360-7927
2418 E York St
Philadelphia PA 19125
Hours:
8am-8pm Mon-Thurs
9am-6pm Fri-Sun
Text our team your questions.
Board Certification:
American Board of Internal Medicine