Provider Demographics
NPI:1760878342
Name:SARKARIA, TANIA K (MD)
Entity Type:Individual
Prefix:DR
First Name:TANIA
Middle Name:K
Last Name:SARKARIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11 BEAVER MEADOW RD STE 1
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:VT
Mailing Address - Zip Code:05055-9305
Mailing Address - Country:US
Mailing Address - Phone:802-698-2003
Mailing Address - Fax:866-473-0381
Practice Address - Street 1:11 BEAVER MEADOW RD STE 1
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:VT
Practice Address - Zip Code:05055-9305
Practice Address - Country:US
Practice Address - Phone:802-698-2003
Practice Address - Fax:866-473-0381
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042.00150122084P0804X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1033565Medicaid