Chandran, George
Chandran, George is an sole proprietor health care provider with primary practice located at 717 Encino Pl Ne Ste 19 , Albuquerque NM 87102-2653. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chandran, George can be contacted via phone (505) 247-1744.Contact Information
Primary practice address
717 Encino Pl Ne Ste 19
Albuquerque NM 87102-2653
Phone: (505) 247-1744
Fax: (505) 247-0797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 76-18 | New Mexico |
Profile Details
| NPI number | 1093888604 |
|---|---|
| LBN Legal business name | Chandran, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Feb 20th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093888604 | NPPES |
| New Mexico | MEDICAID | 05199 |
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