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
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