IndividualActive
Gnanagurdasan Prakasam, MD
NPI 1871586065 · Pediatric Endocrinology Physician · Sacramento, CA
Provider details
- NPI number
- 1871586065
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A65908 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3814 Auburn Blvd
72
Sacramento, CA 95821-2123
Phone: (916) 426-1902
Fax: (916) 426-1940
Approximate (ZIP-level) locationGet directions
Mailing address
3814 Auburn Blvd
Sacramento, CA 95821-2123
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2013-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.