Active NPI
Vein & Vascular LLC
- Phlebology Physician
- Las Cruces, NM
National Provider Identifier
1003704867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- Legal business name
- VEIN & VASCULAR LLC
- Practice address
- 700 S Telshor Blvd Ste 1460
Las Cruces, NM 88011-8607 - Phone
- (505) 363-3377
- Fax
- (575) 205-0306
- NPI assigned
- Jun 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chandran Vedamanikam, MD
- Title
- Owner
- Phone
- (505) 363-3377
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | Primary |
Addresses
Primary practice location
700 S Telshor Blvd Ste 1460
Las Cruces, NM 88011-8607
Mailing address
4603 Sandalwood Dr
Las Cruces, NM 88011-9634
Phone (505) 363-3377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
700 S Telshor Blvd
Ste 1460
Las Cruces, NM 88011
Phone (505) 363-3377
530 N Telshor Blvd
Las Cruces, NM 88011
Phone (505) 532-5437
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Phlebology Physician
- Albuquerque, NM
- NPI 1154585990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1003704867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4603 SANDALWOOD DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880119634",
"telephone_number": "505-363-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S TELSHOR BLVD STE 1460",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118607",
"telephone_number": "505-363-3377",
"fax_number": "575-205-0306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEIN & VASCULAR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-27",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "VEDAMANIKAM",
"authorized_official_first_name": "CHANDRAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-363-3377",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Phlebology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.