DR. CHANDRAHASA ANNEM (NPI# 1801175559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801175559 |
| Entity Type | Individual |
| Full Name | DR. CHANDRAHASA ANNEM |
| Credential | M.D |
| Practice Address |
4100 High Resort Blvd Se Albuquerque NM 87124-5901 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5052912222 |
| Practice Fax Number | 5054628239 |
| Mailing Telephone | 5059236770 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD2015-0696 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
4100 HIGH RESORT BLVD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87124-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548457997 | Manuela Gallegos | Physician Assistant | 4100 High Resort Blvd Se, Albuquerque, NM 87124-5901 | 2007-10-01 |
| 1508060351 | Corinn Melissa Sadler | Internal Medicine | 4100 High Resort Blvd Se, Albuquerque, NM 87124 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669668497 | Monthida Fangtham | Internal Medicine | Doim Rheumatology, 1 University of New Mexico Msc 10-5550, Albuquerque, NM 87131-0001 | 2007-09-14 |
| 1730204520 | Juliet Coquia | Internal Medicine | 8100 Constitution Pl Ne Ste 210, Pmg Kaseman Arthritis Clinic, Albuquerque, NM 87110-7625 | 2007-03-20 |
| 1760576136 | Erik E Carlson | Internal Medicine | Pmg Rheumatology, 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2006-10-03 |
| 1356435747 | Peter Rosandich | Internal Medicine | 8200 Louisiana Blvd Ne, New Mexico Rheumatology LLC, Albuquerque, NM 87113-2105 | 2006-10-03 |
| 1952339681 | Roderick Fields | Internal Medicine | 2211 Lomas, Ne, 5th Floor-5acc, Albuquerque, NM 87106-0001 | 2006-06-29 |
| 1881690071 | Albert J Rizzoli | Internal Medicine | 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4261 | 2005-06-22 |
| 1386009314 | Sandia Rheumatology LLC | Internal Medicine | 3820 Masthead St Ne, Albuquerque, NM 87109-4582 | 2015-12-17 |
| 1245617091 | Jaren Robert Trost | Internal Medicine | 2901 Transport St Se, Albuquerque, NM 87106-4382 | 2015-04-30 |
| 1922449974 | Mirza Moazam Beg | Internal Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2013-07-07 |
| 1730529918 | Clifford Stermer | Internal Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2013-07-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87124 |
Please comment or provide details below to improve the information on DR. CHANDRAHASA ANNEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.