Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Greater Washington Skin Center, LLC

Organization Dermatology Physician · NPI 1245509439

Greater Washington Skin Center, LLC is a Dermatology Physician in College Park, Maryland. Licensed in Maryland. Registered with an NPI since 2011.

Licensed in
MD
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4700 Berwyn House Rd Ste 108
College Park, MD 20740-2474
Phone: (858) 752-4459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence DO073150 (MD)

Record details

NPI number1245509439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pavan Nootheti — Owner · (858) 752-4459
NPI enumeratedDecember 19, 2011
Last updated in NPPESDecember 19, 2011
Mailing address4700 Berwyn House Rd, Suite 108, College Park, MD 20740-2474

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