Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chandran Vedamanikam, MD

Individual provider Family Medicine Physician · NPI 1154585990

Chandran Vedamanikam, MD is a Family Practice in Albuquerque, New Mexico. Qualified in 2004, 22 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
22
Licensed in
NM
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3825 Eubank Blvd NE Ste H
Albuquerque, NM 87111-3559
Phone: (505) 350-3397
Fax: (505) 323-7980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 S Telshor Blvd Ste 1460, Las Cruces, NM 88011-8607 — (575) 567-7774

Specialties & licences

Phlebology Physician (primary) Taxonomy 202K00000X · Licence MD2012-0121 (NM)
Family Medicine Physician Taxonomy 207Q00000X · Licence RS2008-0187 (NM)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD2012-0121 (NM)

Record details

NPI number1154585990
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 10, 2008
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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