Individual
ANANTHRAM POTTIPATI REDDY
Active
Individual
ANANTHRAM POTTIPATI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
17118
WV
207RG0100X
Gastroenterology Physician
35064253
OH
207RG0100X
Gastroenterology Physician
Primary
C 52423
CA
207RG0100X
Gastroenterology Physician
MD044783L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0858620
—
OH
05
—
3004393000
—
WV
01
—
GN258A
MEDICARE GROUP PTAN
CA
01
—
GN609Z
MEDICARE PTAN
CA
01
—
W21999
MEDICARE PTAN SDIGN
CA
Enumeration date
09/27/2005
Last updated
02/10/2026
Update your record
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