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Active NPI 1154656668 Individual Practitioner Female Practitioner

Sokunthy Tan

Specialist • Springfield, VA

Professional Overview & Biography Verified Profile Summary

Sokunthy Tan is a registered healthcare professional specializing in Specialist in Springfield, VA. Practice services are available at 6120 BRANDON AVE STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6120 Brandon Ave Ste 104

Springfield, VA 221502504

Telephone 7039139447

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Springfield, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Springfield, VA (878 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-03
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 20-0576591

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 03, 2024

Registered at 6120 BRANDON AVE STE 104, SPRINGFIELD, VA 221502504 (Tel: 7039139447)

📍
Updated Business Mailing Address February 03, 2024

Registered at 6120 BRANDON AVE STE 104, SPRINGFIELD, VA 221502504 (Tel: 7039134774)

✅
NPI Profile Active June 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2015

Registered at 6691E BACKLICK RD, SPRINGFIELD, VA 221502702 (Tel: 7039139447)

📍
Updated Business Mailing Address June 23, 2015

Registered at 6691E BACKLICK RD, SPRINGFIELD, VA 221502702 (Tel: 7039139447)

👤
Provider Name / Credentials Updated June 23, 2015

Recorded as SOKUNTHY TAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2015

Specialist (License #20-0576591 in VA)

🟢
Initial NPI Registration & Enumeration October 16, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154656668
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2009
Last Update: February 03, 2024
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

6120 Brandon Ave Ste 104

Springfield, VA 221502504

Phone: 7039134774

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.