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NPI Code Detail

MEDICARE: DR. MANOJ SOMA REDDY MD

MEDICARE: DR. MANOJ SOMA REDDY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology PhysicianD0060974MD
2207RN0300XNephrology Physician0101235617VA

General Provider Information

NPI Number : 1508814443
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANOJ SOMA REDDY MD
Provider Business Mailing Address
First Line : 8926 WOODYARD RD STE 602
Second Line :
City : CLINTON
State : MD
Zip : 20735-4235
Country : US
Telephone Number : 301-868-9414
Fax Number : 301-868-6055
Provider Business Practice Location Address
First Line : 8926 WOODYARD RD STE 602
Second Line :
City : CLINTON
State : MD
Zip : 20735-4235
Country : US
Telephone Number : 301-868-9414
Fax Number : 301-868-6055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 04/16/2026

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Directions to “ DR. MANOJ SOMA REDDY MD” Practice Location

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