DR. SOMPHONG THITARAM MD
NPI 1063504074
General Practice in Marietta, GA

Active since September 28, 2006
2550 WINDY HILL RD SE, 106, MARIETTA, GA 30067(770) 955-4314(770) 955-4315 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Somphong Thitaram Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOMPHONG THITARAM MD (NPI 1063504074) is an individual general practice provider in Marietta, Georgia, licensed in Georgia (15046) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1063504074
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. SOMPHONG THITARAMCredential: MD
Location Address2550 WINDY HILL RD SE, 106Marietta, GA 30067-8665
Mailing Address2550 Windy Hill Rd Se, 106Marietta, GA 30067-8665 · (770) 955-4314 · Fax (770) 955-4315
Fax(770) 955-4315
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1063504074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in GA · 15046
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2550 WINDY HILL RD SE, Marietta, GA 30067

Other Identifiers 1

Medicare UPIND31000GA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
2550 WINDY HILL RD SE, 115
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2550 WINDY HILL RD SE, SUITE 215
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Audiologist
2550 WINDY HILL RD SE, SUITE 307
MARIETTA, GA 30067
Anesthesiologist Assistant
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Psychiatry & Neurology (Psychiatry)
2550 WINDY HILL RD SE, SUITE 100
MARIETTA, GA 30067
Massage Therapist
2550 WINDY HILL RD SE, 215
MARIETTA, GA 30067
Clinic/Center (Endoscopy)
2550 WINDY HILL RD SE, STE. 302
MARIETTA, GA 30067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Somphong Thitaram's NPI number?

The NPI number for Somphong Thitaram is 1063504074. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Somphong Thitaram located?

Somphong Thitaram practices at 2550 Windy Hill Rd SE 106, Marietta, GA 30067. The listed phone number is (770) 955-4314.

What is Somphong Thitaram's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Somphong Thitaram was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.