DIAMOND STATE VASCULAR INTERVENTIONAL LLC – Vascular & Interventional Radiology Physician, NPI 1104642214

DIAMOND STATE VASCULAR INTERVENTIONAL LLC is a healthcare provider. based in Beaverton, Oregon. specializing in Vascular & Interventional Radiology Physician. The NPI Number for DIAMOND STATE VASCULAR INTERVENTIONAL LLC is 1104642214

Main info

Organization
Name
DIAMOND STATE VASCULAR INTERVENTIONAL LLC
NPI
1104642214
Phone
(571) 265-9715
Address
9450 SW GEMINI DR STE 59742
Authorized Official
NILOY DASGUPTA STAFF MD
Enumeration Date
25 November 2024
Last Update Date
25 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for DIAMOND STATE VASCULAR INTERVENTIONAL LLC

  • 9450 SW GEMINI DR STE 59742

    BEAVERTON, OR 970087105

    Phone: (571) 265-9715

    Type: Mailing

  • 1941 LIMESTONE RD STE 15

    WILMINGTON, DE 198085423

    Phone: (571) 265-9715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97008)

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Frequently asked questions

Is DIAMOND STATE VASCULAR INTERVENTIONAL LLC listed with a National Provider Identifier?
Yes — DIAMOND STATE VASCULAR INTERVENTIONAL LLC has NPI 1104642214 on file in the registry.
Is DIAMOND STATE VASCULAR INTERVENTIONAL LLC shown as active in public data?
Registry records indicate DIAMOND STATE VASCULAR INTERVENTIONAL LLC maintains an active NPI.
What kind of doctor is DIAMOND STATE VASCULAR INTERVENTIONAL LLC?
DIAMOND STATE VASCULAR INTERVENTIONAL LLC is associated with Vascular & Interventional Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DIAMOND STATE VASCULAR INTERVENTIONAL LLC associated with Beaverton?
Public fields place DIAMOND STATE VASCULAR INTERVENTIONAL LLC around Beaverton, Oregon. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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