Chronic disease management
Diabetes, high blood pressure, high cholesterol, thyroid disease, asthma and COPD, arthritis — monitored over time, with medications adjusted as your body changes.
Dr. Gurinder Narain has cared for patients in the Sanger community since 2006 — managing diabetes, blood pressure, heart and lung conditions, and everything in between, with the same physician you see each visit.
Internal Medicine
Dr. Gurinder Narain is an internist — a physician trained specifically in the diagnosis and long-term management of adult illness. He earned his medical degree in 1994 and has practiced at 800 N Street in Sanger since 2006, caring for many families across two and three generations.
Internal medicine is the specialty for grown-up problems: the conditions that build slowly, overlap with one another, and need a doctor who remembers what happened last year. Dr. Narain also follows his patients through the hospital and back home again, so care doesn’t restart from zero after a discharge.
From the annual physical to the complicated chronic condition that three other doctors are also involved in.
Diabetes, high blood pressure, high cholesterol, thyroid disease, asthma and COPD, arthritis — monitored over time, with medications adjusted as your body changes.
Annual exams, Medicare wellness visits, cancer screening referrals, immunizations, and the lab work that catches problems before you feel them.
Infections, injuries, stomach trouble, coughs that won’t quit. Call in the morning — established patients are usually seen quickly.
Discharged from Community Regional, St. Agnes, Clovis Community or Adventist Reedley? Dr. Narain reviews what happened and takes the care forward.
Refills, interaction reviews, and simplifying long lists — especially after a hospital stay or a new specialist prescription.
An unhurried conversation about what you want, documented properly, so your family and your doctors are working from the same page.
Dr. Narain is affiliated with the major medical centers serving Fresno County, which keeps your records and your care moving together.
Four measurements drive most decisions in adult medicine. Here is what the ranges mean — the same charts Dr. Narain walks through in the exam room.
Normal, elevated, stage 1 and stage 2 — and the number that means go now.
See the chart →Where prediabetes starts, and why it is worth catching early.
See the chart →LDL, HDL and triglycerides, and which one actually moves with diet.
See the chart →A screening tool, not a verdict — and what it misses.
See the chart →Dr. Narain accepts Medicare assignment, which means he accepts the Medicare-approved amount as payment in full and will not bill you above your deductible and coinsurance.
Annual wellness visits are covered by Medicare at no cost to you.
The office participates with a number of commercial and managed-care plans in the Fresno County area. Because networks change every year, please call the office with your card in hand and we will confirm your coverage before your visit.
Between 8th and 9th Street in downtown Sanger, with parking on site.
| Monday | 8:00 AM – 5:00 PM |
|---|---|
| Tuesday | 8:00 AM – 5:00 PM |
| Wednesday | 8:00 AM – 5:00 PM |
| Thursday | 8:00 AM – 5:00 PM |
| Friday | 8:00 AM – 5:00 PM |
| Saturday & Sunday | Closed |
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Call the office Monday through Friday between 8 AM and 5 PM. New patients are welcome — please have your insurance card and medication list ready when you call.