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

Mithula Rao Gopalam

Individual provider Internal Medicine Physician · NPI 1093931974

Mithula Rao Gopalam is an Internal Medicine in Georgetown, Texas. Qualified in 2005, 21 years ago. Practices with Scott and White Clinic, a 2,429-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2007
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Practice location Address checks out

4945 Williams Dr
Georgetown, TX 78633-2008
Phone: (512) 819-0500
Fax: (512) 819-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence N3685 (TX)

Record details

NPI number1093931974
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 18, 2007
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Georgetown