DESOTO HEART CLINIC, PC – NPI #1649536889
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

DESOTO HEART CLINIC, PC is a provider located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1649536889 to DESOTO HEART CLINIC, PC on April 02, 2012. 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 14 years ago on May 01, 2012. 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 DESOTO HEART CLINIC, PC below.

NPI Profile for
DESOTO HEART CLINIC, PC

NPI Number
1649536889
Enumeration Date

(more than 14 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
DESOTO HEART CLINIC, PC
Primary location
391 SOUTHCREST CIR
SUITE 209
SOUTHAVEN, MS 38671-6730
Phone: (662) 536-3610 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDWARD EVANS
OWNER/PRESIDENT
Phone: (662) 536-3610
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)		 MS 16862

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.