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

Dr. Teddy D Pan, MD

Individual provider Dermatopathology Physician · NPI 1609847979

Dr. Teddy D Pan, MD is a Dermatology in Colonie, New York. Graduated from Warren Alpert Medical School of Brown University in 1996, 30 years ago. Practices with Pan Dermatology, PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Trained at
Warren Alpert Medical School of Brown University
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

105 Everett Rd
Colonie, NY 12205-1407
Phone: (518) 694-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 239724-1 (NY)

Record details

NPI number1609847979
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESFebruary 17, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 1996 (30 years in practice)
Group practice Pan Dermatology, Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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