Provider Demographics
NPI:1326632456
Name:ADVANCED PROCEDURAL EXPERTS
Entity Type:Organization
Organization Name:ADVANCED PROCEDURAL EXPERTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-692-4968
Mailing Address - Street 1:5436 HUNTER DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80528-9389
Mailing Address - Country:US
Mailing Address - Phone:970-692-4968
Mailing Address - Fax:
Practice Address - Street 1:1355 RIVERSIDE AVE STE D
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-4366
Practice Address - Country:US
Practice Address - Phone:970-692-4968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CODR.0054114OtherCOLORADO MEDICAL LICENSE