With a score of 454, your All India Rank range is 73337-81607. You haven't mentioned your Category but Private Medical Colleges do not participate in All India Counselling. You have to participate in their State Counsellings. You can participate in the State Counselling for Management Quota of Private Medical Colleges of Telangana, UP, Karnataka and Kerala. This is where you can get a seat in MBBS with this score. Having said that, this is based on 2019 data and cut offs change every year. Cut offs change every year depending on various factors such as no.of Candidates appearing for the exam, no.of Candidates qualified, top NEET score and difficulty of the exam. For a complete list of colleges that you may have a shot at, please use our College predictor: https://medicine.careers360.com/neet-college-predictor?icn=QnA&ici=qna_answer