Organization
GEORGE CHANDRAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD L LOBATO (MANAGER)
(505) 884-1214
Entity
Organization
Contact information
Practice address
717 ENCINO PL NE, SUITE 19, ALBUQUERQUE, NM 87102-2611
(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
207RC0000X
Cardiovascular Disease Physician
Primary
76-18
NM
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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