Organization
SAN DIEGO INSTITUTE OF GASTROENTEROLOGY AND NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANANTHRAM POTTIPATI REDDY MD (OWNER)
(619) 588-4074
Entity
Organization
Contact information
Practice address
6699 ALVARADO RD STE 2301, SAN DIEGO, CA 92120-5241
(619) 588-4074
(619) 588-4004
Mailing address
6699 ALVARADO RD STE 2301, SAN DIEGO, CA 92120-5241
(619) 588-4074
(619) 588-4004
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2955846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A464720
—
CA
05
—
00C524230
—
CA
01
—
A46472
MEDICAL LICENSE- JOSEPH B. REDDY
CA
01
—
C52423
MEDICAL LICENSE- ANANTHRAM REDDY, MD
CA
Enumeration date
06/01/2007
Last updated
02/10/2026
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