STATELINE HEART AND VASCULAR HEALTH, INC – NPI #1306361803
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

STATELINE HEART AND VASCULAR HEALTH, INC is a provider located in MARTINSVILLE, VA. NPPES has assigned the NPI number 1306361803 to STATELINE HEART AND VASCULAR HEALTH, INC on August 07, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STATELINE HEART AND VASCULAR HEALTH, INC below.

NPI Profile for
STATELINE HEART AND VASCULAR HEALTH, INC

NPI Number
1306361803
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STATELINE HEART AND VASCULAR HEALTH, INC
Primary location
312 FAIRY STREET EXT STE 101
MARTINSVILLE, VA 24112-1912
Phone: (757) 813-6493 Fax:
Mailing address
20 HUNT COUNTRY FARMS RD
MARTINSVILLE, VA 24112-6622
Phone: (757) 813-6493 Fax:
Organization Subpart
No
Authorized Official
DEEPAK BANERJEE
PRESIDENT
Phone: (757) 813-6493
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 VA 0101230554

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.