Provider Demographics
NPI:1003885393
Name:REED, ANDRE L (MD)
Entity Type:Individual
Prefix:
First Name:ANDRE
Middle Name:L
Last Name:REED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8490 E CRESCENT PKWY STE 380
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2815
Mailing Address - Country:US
Mailing Address - Phone:303-957-1310
Mailing Address - Fax:303-761-4252
Practice Address - Street 1:701 E HAMPDEN AVE STE 420
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2760
Practice Address - Country:US
Practice Address - Phone:303-781-0404
Practice Address - Fax:303-781-0804
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2023-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO39549207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO040016226OtherRAILROAD MEDICARE
CO86685236Medicaid
CO86685236Medicaid
CO86685236Medicaid