SOTHEAVY VANN MD
NPI 1710411590
Family Medicine in Marietta, GA

Q: What is Sotheavy Vann's NPI number?

The NPI number for Sotheavy Vann is 1710411590. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Q: What is Sotheavy Vann's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sotheavy Vann was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2017

1605 ROBERTA DR SW, MARIETTA, GA 30008(404) 937-3851 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 16, 2021, Apr 18, 2017 (2 updates tracked since 2017).

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About Sotheavy Vann Md NPPES

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

SOTHEAVY VANN MD (NPI 1710411590) is an individual family medicine provider in Marietta, Georgia, licensed in Georgia (87163) and active in the NPI registry since April 2017. She maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1710411590

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSOTHEAVY VANNCredential: MD

Location Address1605 ROBERTA DR SWMarietta, GA 30008-3855

Mailing Address1605 Roberta Dr SwMarietta, GA 30008-3855 · (404) 937-3851

Phone(404) 937-3851

Sole ProprietorNo

Enumeration DateApril 18, 2017

Last NPPES UpdateMarch 16, 20212 updates tracked since enumeration

NPPES CertifiedMarch 16, 2021

✔ NPI 1710411590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 87163

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1605 ROBERTA DR SW, Marietta, GA 30008

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Secondary Practice Location 1

Location 17501 Riverside PkwyTulsa, OK 74136-5056 · Phone (918) 710-4200 · Fax (918) 403-6331

Other Providers at the Same Location NPPES 17

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

JI WON PARK DMD

Dentist (General Practice)