STATELINE HEART AND VASCULAR HEALTH INC NPI 1306361803

NPI Information

NPI: 1306361803
Provider Name: STATELINE HEART AND VASCULAR HEALTH, INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
312 FAIRY STREET EXT STE 101
MARTINSVILLE, VA
ZIP 24112
Phone: (757) 813-6493
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STATELINE HEART AND VASCULAR HEALTH, INC is a cardiovascular disease internal medicine in Martinsville, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. STATELINE HEART AND VASCULAR HEALTH, INC NPI is 1306361803. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

312 FAIRY STREET EXT STE 101
MARTINSVILLE, VA
ZIP 24112-912
Phone: (757) 813-6493

The provider's authorized official is Deepak Dilip Banerjee .
The authorized official title is President and has the following contact phone number (757) 813-6493.

The enumeration date for this NPI number is 8/7/2017 and was last updated on 8/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	0101230554	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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