Reddy, Ananthram Pottipati
Reddy, Ananthram Pottipati is an sole proprietor health care provider with primary practice located at 6699 Alvarado Rd Ste 2301 , San Diego CA 92120-5241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Reddy, Ananthram Pottipati can be contacted via phone (619) 229-1005.Contact Information
Primary practice address
6699 Alvarado Rd Ste 2301
San Diego CA 92120-5241
Phone: (619) 229-1005
Fax: (619) 588-4004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35064253 | Ohio |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 17118 | West Virginia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD044783L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | C 52423 | California |
Profile Details
| NPI number | 1124014923 |
|---|---|
| LBN Legal business name | Reddy, Ananthram Pottipati |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | May 17th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124014923 | NPPES |
| California | Other | GN258A | MEDICARE GROUP PTAN |
| California | MEDICAID | 0858620 | MEDICARE GROUP PTAN |
| California | Other | GN609Z | MEDICARE GROUP PTAN |
| California | MEDICAID | 3004393000 | MEDICARE GROUP PTAN |
| California | Other | W21999 | MEDICARE GROUP PTAN |
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