Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANDRAN VEDAMANIKAM, M.D.
Active Sole ProprietorCHANDRAN VEDAMANIKAM, M.D. is a 202K00000X healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1154585990 is currently active in the NPPES registry. Verify at CMS.
202K00000X · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1154585990
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2008 (18.084802712053 yrs)
- Last Updated
- Feb 9, 2026
- Licenses
-
RS2008-0187 (NM)MD2012-0121 (NM)MD2012-0121 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3825 EUBANK BLVD NE STE HALBUQUERQUE, NM, 871113559Browse NM providers · Browse ZIP 87111
- Phone
- 5053503397
- Fax
- 5053237980
- Primary Specialty
-
202K00000X
202K00000X
- Additional Specialty
- 202K00000X
- Additional Specialty
- Family Medicine
Other 202K00000X Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| KEVIN GOODLUCK | MD | 1710071196 |
| MICHAEL HARDING | MD | 1700970183 |
| CHRISTINE SAUNDERS | PA | 1437591823 |
| ISMAEL PEREIRA | PA-C | 1568913911 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.