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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRAVEEN GOWTHAM VARMA DASARAJU
NPI 1962107649
Internal Medicine in Jamestown, NY

Active since April 03, 2023
15 S MAIN ST STE 150, JAMESTOWN, NY 14701(716) 483-6700 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Praveen Gowtham Varma Dasaraju NPPES

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

PRAVEEN GOWTHAM VARMA DASARAJU (NPI 1962107649) is an individual internal medicine provider in Jamestown, New York, licensed in New York (345584-01) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1962107649
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRAVEEN GOWTHAM VARMA DASARAJU
Location Address15 S MAIN ST STE 150Jamestown, NY 14701-6627
Mailing Address15 S Main St Ste 150Jamestown, NY 14701-6627 · (716) 483-6700
Phone(716) 483-6700
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1962107649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 345584-01
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15 S MAIN ST STE 150, Jamestown, NY 14701
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Other Providers at the Same Location NPPES 9

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

QPHARMA INC
Non-Pharmacy Dispensing Site
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Chautauqua County (716) 488-0232
DR. JERRY VARGHESE THUTHIKATTU JOHN MD
Family Medicine
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Chautauqua County (716) 483-6700
DR. WOLF-DIETER KRAHN MD
Family Medicine
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Chautauqua County (716) 483-6700
DR. EVADNE CHI ONG MD
Internal Medicine
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Chautauqua County (716) 484-8610
MADELINE LYNCH FNP-C
Nurse Practitioner (Family)
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Chautauqua County (716) 483-6700
MRS. JULIA MERCY CLARK PA-C
Physician Assistant (Medical)
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Chautauqua County (716) 483-6700
KATHRYN ANN SHARPLES
Physician Assistant
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Chautauqua County (716) 483-6700
KATHERINE ELIZABETH TIDWELL FNP
Nurse Practitioner (Family)
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Chautauqua County (727) 519-3447

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 Praveen Gowtham Varma Dasaraju's NPI number?

The NPI number for Praveen Gowtham Varma Dasaraju is 1962107649. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Praveen Gowtham Varma Dasaraju located?

Praveen Gowtham Varma Dasaraju practices at 15 S Main St Ste 150, Jamestown, NY 14701. The listed phone number is (716) 483-6700.

What is Praveen Gowtham Varma Dasaraju's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Praveen Gowtham Varma Dasaraju was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.