Fishtown Medicine - Philadelphia, Pennsylvania

Fishtown Medicine is a personal primary care and longevity practice in Philadelphia led by board-certified internist Ashvin Vijayakumar, MD (Dr. Ash). By capping the practice at 200 adult members and working directly for patients rather than insurance companies, we replace rushed 15-minute assembly-line visits with 30 to 90 minute appointments, same-day or next-day scheduling, direct physician messaging, and doorstep home visits across Greater Philadelphia.

Every membership starts with a deep diagnostic baseline that looks 10 to 30 years ahead, including advanced cardiometabolic markers (ApoB, Lp(a), fasting insulin, hs-CRP), individualized cancer screening, sleep and recovery architecture, and continuous care coordination across every specialist you see.