Organization
CENTER OF EXCELLENCE IN DIABETES AND ENDOCRINOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GNANAGURUDASAN PRAKASAM M.D. (PRESIDENT)
(913) 733-0888
Entity
Organization
Contact information
Practice address
3814 AUBURN BLVD, SUITE 72, SACRAMENTO, CA 95821-2123
(916) 426-1902
(916) 426-1940
Mailing address
3814 AUBURN BLVD, SUITE 72, SACRAMENTO, CA 95821-2123
(916) 426-1902
(916) 426-1940
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
07/11/2011
Last updated
05/31/2013
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