Organization
SAN DIEGO DIGESTIVE DISEASES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHORE V GADDIPATI M.D. (PRESIDENT /OWNER)
(858) 215-2452
Entity
Organization
Contact information
Practice address
8837 VILLA LA JOLLA DR, LA JOLLA, CA 92039-7001
(858) 215-2452
Mailing address
8837 VILLA LA JOLLA DR, LA JOLLA, CA 92039-7001
(858) 215-2452
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/14/2012
Last updated
08/23/2012
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