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Individual
DAMODHAR NERELLA
Active
Individual
DAMODHAR NERELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27041
SC
208M00000X
Hospitalist Physician
Primary
98490
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097697620A
GEORGIA MEDICAID
—
05
—
270414
—
SC
01
—
P00156020
RR MEDICARE
SC
01
—
P00855848
RR MEDICARE EFF 10-10
SC
Enumeration date
05/09/2006
Last updated
07/21/2025
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