Healthcare Provider Details

I. General information

NPI: 1518221506
Provider Name (Legal Business Name): SARAHJEET SINGH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2012
Last Update Date: 10/31/2022
Certification Date: 10/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WILLISTON RD
SOUTH BURLINGTON VT
05403-5720
US

IV. Provider business mailing address

74 PLEASANT ST STE 204
NEW LONDON NH
03257-5881
US

V. Phone/Fax

Practice location:
  • Phone: 802-448-8205
  • Fax: 802-448-8206
Mailing address:
  • Phone: 603-526-4635
  • Fax: 603-526-2151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR73584
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number042.0015126
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: