Organization
MY DIABETES TUTOR INC
Active
Other names
My Diabetes Tutor
Organization subpart
No
Provider details
NPI number
Authorized official
PREM SAHASRANAM MD (FOUNDER/ CMO)
(559) 587-1100
Entity
Organization
Contact information
Practice address
515 W GRANGEVILLE BLVD, HANFORD, CA 93230-2861
(844) 623-0999
(844) 306-5999
Mailing address
515 W GRANGEVILLE BLVD, HANFORD, CA 93230-2861
(844) 623-0999
(844) 306-5999
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
732976
ADCES
—
Enumeration date
11/04/2025
Last updated
11/04/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up