Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Goda P Damera

Individual provider Internal Medicine Physician · NPI 1275841595

Goda P Damera is an Internal Medicine in Ellicott City, Maryland. Qualified in 2006, 20 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
20
Licensed in
TN
In the registry since
2010
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Practice location Address checks out

3128 Wheaton Way Apt E
Ellicott City, MD 21043
Phone: (775) 997-5066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 52104 (TN)

Record details

NPI number1275841595
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 21, 2010
Last updated in NPPESNovember 6, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ellicott City