Individual
ANANTHRAM POTTIPATI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9456 CUYAMACA ST STE 102, SANTEE, CA 92071-5919
(619) 588-4074
(619) 588-4004
Mailing address
9456 CUYAMACA ST, SUITE 102, SANTEE, CA 92071-5915
(619) 588-4074
(619) 588-4004
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
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