Mr Gnanagurdasan Prakasam, MD | |
3814 Auburn Blvd, 72, Sacramento, CA 95821-2123 | |
(916) 426-1902 | |
(916) 426-1940 |
Full Name | Mr Gnanagurdasan Prakasam |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 3814 Auburn Blvd, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871586065 | NPI | - | NPPES |
00A659080 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | A65908 (California) | Primary |
Entity Name | Sutter Valley Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
---|---|
Mr Gnanagurdasan Prakasam, MD 3814 Auburn Blvd, 72, Sacramento, CA 95821-2123 Ph: (916) 426-1902 | Mr Gnanagurdasan Prakasam, MD 3814 Auburn Blvd, 72, Sacramento, CA 95821-2123 Ph: (916) 426-1902 |
Lena Claire Van Der List, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-2428 | |
Dr. Mary Beth J Steinfeld, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2825 50th St, Uc Davis Department Of Pediatrics, Sacramento, CA 95817 Phone: 916-703-0271 Fax: 916-703-0243 | |
Lindalee G Huston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5301 F St, #220, Sacramento, CA 95819 Phone: 916-455-8000 Fax: 916-733-6088 | |
Alison My Lam, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-3665 | |
Marcela Lau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000 | |
Donald Morley Null, Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 Stockton Blvd, Nicu, Sacramento, CA 95817 Phone: 916-703-3050 Fax: 916-703-3055 | |
Dr. Elizabeth Partridge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 Stockton Blvd, Sacramento, CA 95817 Phone: 510-428-4337 |