George Chandran, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

76-18 Issued in NM

Practice address

717 Encino PL NE Ste 19
Albuquerque, NM 87102-2653

Phone

(505) 247-1744

Fax

(505) 247-0797

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Duke City Vascular Lab Inc

  • Clinical Medical Laboratory
  • Albuquerque, NM
  • NPI 1669545257
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1093888604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35310",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871765310",
            "telephone_number": "505-247-1744",
            "fax_number": "505-247-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE STE 19",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022653",
            "telephone_number": "505-247-1744",
            "fax_number": "505-247-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAN",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "76-18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05199",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter C Chance, CNP
• Hallie Chancellor
• Elizabeth T Chandler, LPCC
• Patricia Chandler, LCSW
• Mary Chando
• Aaditya Chandrasekar, MD
• Annandhi Chandrasekaran, OTR/L
• Christina C Chaney, CNM
• Crystal Marie Chaney, LMSW
• Ai-Mee A Chang-Say, M.S., CCC-SLP

• Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.