Individual
MANOJ ADAVELLY REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5925 FOREST LN STE 416, DALLAS, TX 75230-2713
(281) 772-6270
Mailing address
5925 FOREST LN STE 416, DALLAS, TX 75230-2713
(281) 772-6270
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
L1182
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1590556-01
—
TX
05
—
1590556-02
—
TX
Enumeration date
07/22/2005
Last updated
04/02/2026
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