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

Deven Carroll, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528695640

Deven Carroll, MD is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
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

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (408) 621-3536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MI)

Record details

NPI number1528695640
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESNovember 7, 2021
Certification dateNovember 7, 2021

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