Provider Demographics
NPI:1487175402
Name:SHERCHAN, MEGHA (DDS)
Entity type:Individual
Prefix:DR
First Name:MEGHA
Middle Name:
Last Name:SHERCHAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 E BIJOU ST STE 1002221E
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-8008
Mailing Address - Country:US
Mailing Address - Phone:719-576-1850
Mailing Address - Fax:719-955-3470
Practice Address - Street 1:400 SW 29TH ST STE M
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-1163
Practice Address - Country:US
Practice Address - Phone:785-783-5981
Practice Address - Fax:785-783-5982
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS61474122300000X
CODEN00203295122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS021168210AMedicaid
CO1487175402Medicaid
COPSFIOtherPPP100274