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

Pavan Kumar Nootheti, MD, FAAD

Individual provider Dermatology Physician · NPI 1912130287

Pavan Kumar Nootheti, MD, FAAD is a Dermatology Physician in College Park, Maryland. Licensed in California, District of Columbia and Maryland. Registered with an NPI since 2009.

Licensed in
CA, DC, MD
In the registry since
2009
Specialties on file
6
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

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

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence D73150 (MD)
Dermatology Physician Taxonomy 207N00000X · Licence A90335 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence A90335 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence D73150 (MD)
Dermatology Physician Taxonomy 207N00000X · Licence MD33040 (DC)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence MD33040 (DC)

Record details

NPI number1912130287
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FAAD
Sole proprietorNo
NPI enumeratedSeptember 2, 2009
Last updated in NPPESJanuary 5, 2012
Mailing address1 Stapleford Hall Ct, Potomac, MD 20854-4451

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