Individual
ANDREW SEDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1504 GALENA ST, AURORA, CO 80010-2219
(303) 617-2300
(303) 617-2300
Mailing address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 617-2300
(303) 617-2344
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01060017A
IN
2084P0800X
Psychiatry Physician
35559
KY
2084P0800X
Psychiatry Physician
47548
CO
2084P0800X
Psychiatry Physician
Primary
47648
CO
2084P0800X
Psychiatry Physician
K7211B
TX
2084P0804X
Child & Adolescent Psychiatry Physician
47648
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351047
ANTHEM PIN
IN
05
—
25406361
—
CO
01
—
64010150
KY MEDICAID PIN
KY
Enumeration date
06/14/2006
Last updated
04/10/2023
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