Individual
SRIDEVI DAMERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7910 E WASHINGTON ST STE 200, INDIANAPOLIS, IN 46219-5563
(317) 355-7171
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 355-2800
(317) 355-2828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059476A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000376808
ANTHEM
IN
05
—
200527250
—
IN
01
—
P00297544
RR MEDICARE
IN
01
—
P00942802
MEDICARE RR
IN
Enumeration date
07/30/2006
Last updated
01/05/2026
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