Individual
DR. GEORGE CHANDRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
717 ENCINO PL NE STE 19, ALBUQUERQUE, NM 87102-2653
(505) 247-1744
(505) 247-0797
Mailing address
PO BOX 35310, ALBUQUERQUE, NM 87176-5310
(505) 247-1744
(505) 247-0797
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
76-18
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05199
—
NM
Enumeration date
11/15/2006
Last updated
02/20/2008
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