Organization
SAN DIEGO INSTITUTE OF GASTROENTEROLOGY AND NUTRITION
Active
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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