Provider Demographics
NPI:1770809972
Name:MARUTI, SANCHIT (MD)
Entity type:Individual
Prefix:DR
First Name:SANCHIT
Middle Name:
Last Name:MARUTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 COLCHESTER AVE.
Mailing Address - Street 2:UVM MEDICAL CENTER - PSYCHIATRY
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401
Mailing Address - Country:US
Mailing Address - Phone:802-847-2259
Mailing Address - Fax:802-847-2733
Practice Address - Street 1:111 COLCHESTER AVENUE
Practice Address - Street 2:PATRICK 426, MAILSTOP 259PA4, PSYCHIATRY, FAHC
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401
Practice Address - Country:US
Practice Address - Phone:802-847-2259
Practice Address - Fax:802-847-2733
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VT042.00126082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT003426401OtherMEDICARE PTAN LINKED TO CVMC-IPP
VT1020964Medicaid