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

Dr. Prathab Devaraj, MD

Individual provider Internal Medicine Physician · NPI 1073778064

Dr. Prathab Devaraj, MD is a Gastroenterology in Gilbert, Arizona. Qualified in 2004, 22 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Pennsylvania.

Years since qualifying
22
Licensed in
AZ, PA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone: (480) 256-6444
Fax: (480) 256-3682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 46888 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD443519 (PA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 46888 (AZ)

Record details

NPI number1073778064
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 19, 2008
Last updated in NPPESOctober 31, 2022
Certification dateOctober 31, 2022
Mailing address2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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