| NPI | 1124220181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANTHRAM POTTIPATI REDDY Secretary 619-229-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 2955846) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-05-19 |