Individual
DR. MAHENDRA DAMARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 HOPKINS BAYVIEW CIR, ROOM 4B.74, BALTIMORE, MD 21224-6821
(410) 550-0545
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0065160
MD
207RP1001X
Pulmonary Disease Physician
Primary
D65160
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415148800
—
MD
Enumeration date
01/09/2007
Last updated
01/05/2013
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