MEDICARE: ADVANCED PROCEDURAL EXPERTS

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	2085R0204X	Vascular & Interventional Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DR.0054114	OTHER	CO	COLORADO MEDICAL LICENSE

General Provider Information

NPI Number	:	1326632456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PROCEDURAL EXPERTS

Provider Business Mailing Address
First Line	:	5436 HUNTER DR
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80528-9389
Country	:	US
Telephone Number	:	970-692-4968
Fax Number	:

Provider Business Practice Location Address
First Line	:	1355 RIVERSIDE AVE STE D
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4366
Country	:	US
Telephone Number	:	970-692-4968
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHAWN AHMED
Credential	:	MD
Telephone Number	:	970-692-4968

Provider Enumeration Date	:	03/01/2021
Last Update Date	:	03/01/2021

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