STATELINE HEART AND VASCULAR HEALTH, INC
NPI 1306361803
Internal Medicine - Cardiovascular Disease in Martinsville, VA

Active since August 07, 2017
312 FAIRY STREET EXT STE 101, MARTINSVILLE, VA 24112(757) 813-6493 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 31, 2017, Aug 7, 2017 (3 updates tracked since 2017).

About Stateline Heart And Vascular Health, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATELINE HEART AND VASCULAR HEALTH, INC (NPI 1306361803) is a healthcare organization registered as a cardiovascular disease in Martinsville, Virginia and active in the NPI registry since August 2017. The organization lists Deepak Dilip Banerjee, President, as its authorized official.

NPPES Registry Identity

NPI1306361803
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSTATELINE HEART AND VASCULAR HEALTH, INC
Location Address312 FAIRY STREET EXT STE 101Martinsville, VA 24112-1912
Mailing Address20 Hunt Country Farms RdMartinsville, VA 24112-6622 · (757) 813-6493
Organization SubpartNo
Authorized OfficialDeepak Dilip BanerjeePresident · (757) 813-6493
Enumeration DateAugust 7, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1306361803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in VA · 0101230554
Definition
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.
312 FAIRY STREET EXT STE 101, Martinsville, VA 24112

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
312 FAIRY STREET EXT STE 101
MARTINSVILLE, VA 24112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stateline Heart And Vascular Health, Inc's NPI number?

The NPI number for Stateline Heart And Vascular Health, Inc is 1306361803. It was assigned to this organization in the NPPES registry on August 7, 2017.

Where is Stateline Heart And Vascular Health, Inc located?

Stateline Heart And Vascular Health, Inc is located at 312 Fairy Street Ext Ste 101, Martinsville, VA 24112. The listed phone number is (757) 813-6493.

What is Stateline Heart And Vascular Health, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Stateline Heart And Vascular Health, Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.