Diamond State Vascular Interventional LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

DIAMOND STATE VASCULAR INTERVENTIONAL LLC

Practice address

1941 Limestone Rd Ste 15
Wilmington, DE 19808-5423

Phone

(571) 265-9715

NPI assigned

Nov 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Niloy Dasgupta, MDNPI 1215170972

Title

Staff

Phone

(571) 265-9715

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niloy Dasgupta, MD

  • Vascular & Interventional Radiology Physician
  • Warrenton, VA
  • NPI 1215170972

  Vascular & Interventional Radiology

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1104642214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 SW GEMINI DR STE 59742",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087105",
            "telephone_number": "571-265-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD STE 15",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085423",
            "telephone_number": "571-265-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND STATE VASCULAR INTERVENTIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "DASGUPTA",
        "authorized_official_first_name": "NILOY",
        "authorized_official_title_or_position": "STAFF",
        "authorized_official_telephone_number": "571-265-9715",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wilmington, DE
• Vascular & Interventional Radiology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.