| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Internal Medicine |
| 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. |
| AREA OF SPECIALIZATION | Cardiovascular Disease |
| STATUS | Active |
| VA CODE | V181004 |
| X12 CODE | 207RC0000X |
| SPECIALTY CODE | 06 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251646 |
| EFFECTIVE DATE/TIME |
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