# CENTER OF EXCELLENCE IN DIABETES AND ENDOCRINOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437447521
- **Authorized official:** DR. GNANAGURUDASAN PRAKASAM M.D. (PRESIDENT)
- **Authorized official phone:** (913) 733-0888

## Contact information

- **Practice address:** 3814 AUBURN BLVD, SUITE 72, SACRAMENTO, CA 95821-2123
- **Practice address phone:** (916) 426-1902
- **Practice address fax:** (916) 426-1940
- **Mailing address:** 3814 AUBURN BLVD, SUITE 72, SACRAMENTO, CA 95821-2123
- **Mailing address phone:** (916) 426-1902
- **Mailing address fax:** (916) 426-1940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2011
- **Last updated:** 05/31/2013