Reddy, Manoj Adavelly

Reddy, Manoj Adavelly is an individual health care provider with primary practice located at 5925 Forest Ln Ste 416 , Dallas TX 75230-2713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Reddy, Manoj Adavelly can be contacted via phone (281) 772-6270.

Contact Information

Primary practice address
5925 Forest Ln Ste 416 Dallas TX 75230-2713
Phone: (281) 772-6270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X L1182 Texas

Profile Details

NPI number 1619977329
LBN Legal business name Reddy, Manoj Adavelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Nov 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619977329 NPPES
Texas MEDICAID 1590556-01
Texas MEDICAID 1590556-02

Popular Providers