Dermatology, MOHS-Micrographic Surgery
PAVAN NOOTHETI M.D., FAAD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1912130287 · enumerated 2009-09-02 · record updated 2012-01-05. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1 STAPLEFORD HALL CT, POTOMAC, MD, 20854-4451 (858) 752-4459 Google Maps Apple Maps OpenStreetMap
- Practice location 4700 BERWYN HOUSE RD, SUITE 108, COLLEGE PARK, MD, 20740-2474 (858) 752-4459 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · License A90335 CA
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · License A90335 CA
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · Primary · License D73150 MD
- Dermatology 207N00000X · License D73150 MD
- Dermatology 207N00000X · License MD33040 DC
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · License MD33040 DC
In this directory
MD Prince George's County College Park Dermatology, MOHS-Micrographic Surgery
Locations and evidence
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Practice location
COLLEGE PARK, MD, 207402474
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.