MANOJ ADAVELLY REDDY (NPI# 1619977329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619977329 |
| Entity Type | Individual |
| Full Name | MANOJ ADAVELLY REDDY |
| Credential | MD |
| Practice Address |
5925 Forest Ln Ste 416 Dallas TX 75230-2713 |
| Practice Telephone | 2817726270 |
| Mailing Telephone | 2817726270 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2016-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
L1182 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1590556-02 | 05 | |
| TX | 1590556-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336597848 | Manoj Reddy | Orthopaedic Surgery | 5841 S Maryland Ave, Mc3079, Chicago, IL 60637-1447 | 2016-05-25 |
| 1508814443 | Manoj Soma Reddy | Internal Medicine | 7801 Old Branch Ave, Suite 202, Clinton, MD 20735-1608 | 2006-05-04 |
| Street Address |
5925 FOREST LN STE 416 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962026724 | R. Dani, Md, Pllc | Psychiatry & Neurology | 5925 Forest Ln Ste 416, Dallas, TX 75230-2713 | 2020-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154534 | Genesiscare Landmark Texas Cancer Care Pa | Radiology | 12606 Greenville Ave Ste 160, Dallas, TX 75243-1915 | 2020-08-12 |
| 1376836114 | Jonathan Verma | Radiology | 1441 N Beckley Ave # Suie101, Dallas, TX 75203-1201 | 2011-05-26 |
| 1205168887 | Puneeth Iyengar | Radiology | 5801 Forest Park Road, Dallas, TX 75390-9183 | 2010-02-05 |
| 1891973947 | Sharon L Macko Md Pa | Radiology | 13827 Sprucewood Drive, Dallas, TX 75240-3636 | 2008-01-31 |
| 1013084912 | Thomas Louis Borok | Radiology | 5004 Spyglass Drive, Dallas, TX 75287-7429 | 2006-11-29 |
| 1437186244 | Donald Everett Schwarz | Radiology | 8196-b Walnut Hill Ln, Radiation Oncology Dept., Dallas, TX 75231-4426 | 2006-06-27 |
| 1568401909 | Kesha Richelle Harris-henderson | Radiology | 3555 W Wheatland Rd, Dallas, TX 75237-3461 | 2006-06-04 |
| 1396709721 | John Kevin Oconnor | Radiology | 7777 Forest Ln Ste D110, Dallas, TX 75230-2567 | 2006-04-13 |
| 1831160647 | Heidi Louise Mckellar | Radiology | 2201 Inwood Rd 2nd Floor, Dallas, TX 75390-1806 | 2006-01-30 |
| 1740283738 | Alan A. Slomowitz | Radiology | 4610 Bobbitt Dr, Dallas, TX 75229-4241 | 2005-05-23 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.