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Dr. Viraj V. Tirmal, MD
Internal Medicine

Medical Services

Comprehensive internal medicine care enhanced with advanced diagnostic technologies for early detection and proactive health management.

Advanced Diagnostic Services

We utilize cutting-edge diagnostic technologies to detect potential health issues early, when they're most treatable.

CardioRisk Labs

CIMT Cardiovascular Screening

Carotid Intima-Media Thickness (CIMT) testing is a non-invasive ultrasound procedure that measures the thickness of the inner two layers of the carotid artery wall. This test can detect atherosclerosis (plaque buildup) years before it causes symptoms or shows up on traditional tests.

  • Detects early atherosclerosis
  • Predicts heart attack and stroke risk
  • Non-invasive, painless procedure
  • Results in minutes
  • Tracks progression over time
Zio by iRhythm

Zio Extended Cardiac Monitoring

The Zio patch is a small, comfortable, water-resistant monitor worn continuously for up to 14 days. It captures every heartbeat, detecting arrhythmias like atrial fibrillation that might be missed during a standard office visit or traditional 24-hour Holter monitor.

  • Up to 14 days of continuous monitoring
  • Detects atrial fibrillation (AFib)
  • Identifies other arrhythmias
  • AI-powered analysis
  • Comfortable and discreet
BrainCheck

BrainCheck Cognitive Assessment

BrainCheck is an FDA-cleared digital cognitive assessment tool that evaluates multiple aspects of brain function. It establishes your baseline cognitive health and tracks changes over time, enabling early detection of potential cognitive decline.

  • FDA-cleared cognitive testing
  • Establishes personal baseline
  • Tracks changes year-over-year
  • Evaluates memory and processing
  • Early detection of decline

Comprehensive Care Services

From preventive care to chronic disease management, we provide full-spectrum internal medicine services tailored to your needs.

Vaccinations & Immunizations

Stay protected with recommended adult vaccinations including flu shots, pneumonia vaccines, shingles vaccine, Tdap boosters, and travel vaccinations. We follow CDC guidelines and personalize recommendations based on your health profile.

Weight Management

Comprehensive weight management programs including GLP-1 medications (when appropriate), nutritional counseling, and lifestyle modification strategies. We address the root causes of weight gain for sustainable results.

Diabetes Management

Expert management of Type 2 diabetes and prediabetes including medication optimization, continuous glucose monitoring guidance, lifestyle interventions, and A1c monitoring to achieve and maintain target glucose levels.

Cardiovascular Care

Comprehensive heart health management including hypertension treatment, cholesterol management, advanced lipid testing, and cardiovascular risk reduction strategies.

Sleep Disorders

Evaluation and management of sleep disorders including sleep apnea screening, insomnia treatment, and optimization of sleep hygiene for better rest and overall health.

General Internal Medicine

Complete primary care services for adults including acute illness treatment, chronic disease management, health screenings, and coordination of specialty care when needed.

Prevention is Our Priority

As an MDVIP-affiliated practice, we focus on preventive care rather than just treating illness. Our comprehensive annual wellness exam evaluates over 150 health markers, giving us a complete picture of your health and identifying risks before they become problems.

Learn About MDVIP Wellness

Take Control of Your Health

Schedule an appointment to discuss your health concerns and learn how our comprehensive medical services can help you achieve optimal wellness.