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

Mijjal Gopal Shrestha, MD

Individual provider Internal Medicine Physician · NPI 1174396790

Mijjal Gopal Shrestha, MD is an Internal Medicine in Kingman, Arizona. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2023
Specialties on file
2
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

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone: (928) 681-8577
Show map & directions

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

Additional practice locations (1)

  • 1650 Grand Concourse, Bronx, NY 10457-7679 — (347) 638-5999

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 79478 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174396790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 6, 2023
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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