Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andre Fallavollita, MD

Individual provider Diagnostic Radiology Physician · NPI 1316461502

Andre Fallavollita, MD is a Diagnostic Radiology Physician in Aurora, Colorado. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12605 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 Seaview Ave, Staten Island, NY 10305-3436 — (718) 226-9000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence DR.0070653 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316461502
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2017
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing addressPo Box 110429, Aurora, CO 80042-0429

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