PAVAN K. NOOTHETI M.D., FAAD – NPI #1912130287
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

PAVAN NOOTHETI is a dermatologist located in COLLEGE PARK, MD. NPPES has assigned the NPI number 1912130287 to PAVAN NOOTHETI on September 02, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 14 years ago on Jan 05, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAVAN NOOTHETI below.

NPI Profile for
PAVAN K. NOOTHETI

NPI Number
1912130287
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PAVAN K. NOOTHETI
Credentials
M.D., FAAD
Primary location
4700 BERWYN HOUSE RD
SUITE 108
COLLEGE PARK, MD 20740-2474
Phone: (858) 752-4459 Fax:
Mailing address
1 STAPLEFORD HALL CT
POTOMAC, MD 20854-4451
Phone: (858) 752-4459 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)
MD D73150
207N00000X
- Dermatology
CA A90335

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.