Individual
DR. CHANDRAHASA ANNEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4100 HIGH RESORT BLVD SE, ALBUQUERQUE, NM 87124-5901
(505) 291-2222
(505) 462-8239
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD2015-0696
NM
Other
Enumeration date
08/12/2011
Last updated
08/17/2016
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