Nootheti, Pavan Kumar

Nootheti, Pavan Kumar is an individual health care provider with primary practice located at 4700 Berwyn House Rd Suite 108, College Park MD 20740-2474. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Nootheti, Pavan Kumar can be contacted via phone (858) 752-4459.

Contact Information

Primary practice address
4700 Berwyn House Rd Suite 108 College Park MD 20740-2474
Phone: (858) 752-4459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A90335 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X A90335 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X D73150 Maryland
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D73150 Maryland
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD33040 District of Columbia
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD33040 District of Columbia

Profile Details

NPI number 1912130287
LBN Legal business name Nootheti, Pavan Kumar
Credentials M.D., FAAD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2009
Last updated Jan 5th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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