Healthcare Provider Details

I. General information

NPI: 1609801877
Provider Name (Legal Business Name): ANDREW MARK HO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/24/2023
Certification Date: 08/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6740 E HAMPDEN AVE STE 106
DENVER CO
80224-3071
US

IV. Provider business mailing address

6740 E HAMPDEN AVE STE 106
DENVER CO
80224-3071
US

V. Phone/Fax

Practice location:
  • Phone: 303-756-6030
  • Fax: 833-868-4980
Mailing address:
  • Phone: 303-756-6030
  • Fax: 303-722-3121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number33381
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number33381
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: