MEDICARE: DR. CHANDRAHASA ANNEM M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	MD2015-0696	NM

General Provider Information

NPI Number	:	1801175559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHANDRAHASA ANNEM M.D

Provider Business Mailing Address
First Line	:	PO BOX 26666
Second Line	:	PHS PROVIDER ENROLLMENT
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87125-6666
Country	:	US
Telephone Number	:	505-923-6770
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 HIGH RESORT BLVD SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87124-5901
Country	:	US
Telephone Number	:	505-291-2222
Fax Number	:	505-462-8239

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2011
Last Update Date	:	08/17/2016

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1548457997 — MANUELA GALLEGOS PAC
Practice Location Address:

4100 HIGH RESORT BLVD SE
ALBUQUERQUE, NM
87124-5901

Practice Phone: 505-462-8809
Practice Fax: 505-462-8468

1164002275 — BRITTANY HANLON CNP
Practice Location Address:

4100 HIGH RESORT BLVD SE
ALBUQUERQUE, NM
87124-5901

Practice Phone: 505-462-8520
Practice Fax:

1003890112 — LANA K WAGNER MD
Practice Location Address:

4100 HIGH RESORT BLVD SE , PMG RIO RANCHO HIGH RESORT 4100
RIO RANCHO, NM
87124-5901

Practice Phone: 505-462-8520
Practice Fax: 505-462-8510

1700814316 — SANTA FE PAIN & SPINE SPECIALISTS PC
Practice Location Address:

4100 HIGH RESORT BLVD SE , SUITE 215
RIO RANCHO, NM
87124-5901

Practice Phone: 505-191-2770
Practice Fax: 505-395-7551

1669494167 — DR. ROBERT E ZUNIGA MD
Practice Location Address:

4100 HIGH RESORT BLVD SE
RIO RANCHO, NM
87124-5901

Practice Phone: 505-616-7161
Practice Fax: 505-407-8276

Directions to “ DR. CHANDRAHASA ANNEM M.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.