Provider Demographics
NPI:1609801877
Name:HO, ANDREW MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MARK
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:6740 E HAMPDEN AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3071
Mailing Address - Country:US
Mailing Address - Phone:303-756-6030
Mailing Address - Fax:303-722-3121
Practice Address - Street 1:6740 E HAMPDEN AVE STE 106
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3071
Practice Address - Country:US
Practice Address - Phone:303-756-6030
Practice Address - Fax:833-868-4980
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO33381208D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01333814Medicaid
CO01333814Medicaid
COC42351Medicare PIN