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

Panyamol Pam Kittipongdaja, DO

Individual provider Dermatology Physician · NPI 1861821589

Panyamol Pam Kittipongdaja, DO is a Dermatology in Glen Mills, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Associates in Medical and Cosmetic Dermatology, PC, an 8-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

500 Evergreen Dr Ste 20
Glen Mills, PA 19342-1032
Phone: (484) 785-3376
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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 OS018946 (PA)

Record details

NPI number1861821589
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 4, 2013
Last updated in NPPESAugust 8, 2026
Certification dateAugust 8, 2026

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Associates In Medical And Cosmetic Dermatology, Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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