Individual
VENKATA RAMANI DASARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
42 MONTCALM ST, OSWEGO, NY 13126-1398
(315) 343-2590
(315) 343-4197
Mailing address
42 MONTCALM ST, OSWEGO, NY 13126-1321
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
262048-1
NY
207V00000X
Obstetrics & Gynecology Physician
4301093607
MI
207V00000X
Obstetrics & Gynecology Physician
MD458286
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12249030
CAQH
—
01
—
2173315
GROUP HEALTH INS
—
05
—
3370270
—
NY
01
—
9056830
MVP HEALTH PLAN
—
01
—
9927699
AETNA
—
01
—
J400050945
MEDICARE
—
Enumeration date
06/15/2011
Last updated
12/20/2021
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