Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Praveen Gowtham Varma Dasaraju

Individual provider Internal Medicine Physician · NPI 1962107649

Praveen Gowtham Varma Dasaraju is an Internal Medicine Physician in Jamestown, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

15 S Main St Ste 150
Jamestown, NY 14701-6627
Phone: (716) 483-6700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 345584-01 (NY)

Record details

NPI number1962107649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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