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

Greater Washington Skin Center, LLC

Organization Dermatology Physician · NPI 1245509439

Greater Washington Skin Center, LLC provides Dermatology Physician services in College Park, Maryland. Licensed in Maryland. Registered with an NPI since 2011.

Licensed in
MD
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4700 Berwyn House Rd Ste 108
College Park, MD 20740-2474 Not confirmed with CMS for 14 years — call before visiting
Phone: (858) 752-4459
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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 DO073150 (MD)

Record details

NPI number1245509439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pavan Nootheti — Owner · (858) 752-4459
NPI enumeratedDecember 19, 2011
Last updated in NPPESDecember 19, 2011
Mailing address4700 Berwyn House Rd, Suite 108, College Park, MD 20740-2474

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