| San Diego Institute Of Gastroenterology And Nutrition | |
|
6699 Alvarado Rd Suite 2301 San Diego CA 92120-5244 | |
| (619) 229-1005 | |
| (619) 326-0380 |
| Full Name | San Diego Institute Of Gastroenterology And Nutrition |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 6699 Alvarado Rd, San Diego, California |
| Authorized Official Name and Position | Ananthram Pottipati Reddy (SECRETARY) |
| Authorized Official Contact | 6192291005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Institute Of Gastroenterology And Nutrition 6699 Alvarado Rd Suite 2301 San Diego CA 92120-5244 Ph: (619) 229-1005 | San Diego Institute Of Gastroenterology And Nutrition 6699 Alvarado Rd Suite 2301 San Diego CA 92120-5244 Ph: (619) 229-1005 |
| NPI Number | 1124220181 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124220181 | NPI | - | NPPES |
| C52423 | Other | CA | MEDICAL LICENSE- ANANTHRAM REDDY, MD |
| A46472 | Other | CA | MEDICAL LICENSE- JOSEPH B. REDDY |
| 00A464720 | Medicaid | CA | |
| 00C524230 | Medicaid | CA | |
| A46472 | Other | CA | MEDICAL LICENSE - JOSEPH REDDY, MD |
| C52423 | Other | CA | MEDICAL LICENSE -ANANTHRAM P. REDDY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 2955846 (California) | Primary |
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