Provider Demographics
NPI:1326038944
Name:RAI-SHERPA, SANDHYA (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDHYA
Middle Name:
Last Name:RAI-SHERPA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2761
Mailing Address - Country:US
Mailing Address - Phone:303-388-4461
Mailing Address - Fax:303-398-1211
Practice Address - Street 1:1400 JACKSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2761
Practice Address - Country:US
Practice Address - Phone:303-388-4461
Practice Address - Fax:303-270-2206
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45283207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO294376YLSHOtherMEDICARE PTAN
PAP00236597OtherRAILROAD MEDICARE
CO87102862Medicaid
CO1326038944Medicaid
PA089750G21Medicare PIN
PA50047704OtherCAPITAL BLUE CROSS
PA1736410OtherHIGHMARK BLUE SHIELD
CO87102862Medicaid
PA97350 S1QAOtherGEISINGER HEALTH PLAN
PA1114687OtherAETNA HMO
PA1553239OtherGATEWAY HEALTH PLAN
CO807933Medicare PIN