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

Mr. Mithun Gopal Devraj, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396127205

Mr. Mithun Gopal Devraj, MD is a Cardiovascular Disease (Cardiology) in Carson City, Nevada. Qualified in 2014, 12 years ago. Practices with Carson Tahoe Physician Clinics, a 105-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
12
Licensed in
NV
In the registry since
2015
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

1600 Medical Pkwy
Carson City, NV 89703-4625
Phone: (775) 445-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 110 Irving St Nw Dept Of, Washington, DC 20010-3017 — (202) 877-8278
  • 900 23rd St Nw, Washington, DC 20037-2342 — (202) 715-4000

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 23303 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396127205
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 26, 2015
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023
Mailing address1600 Medical Pkwy, Carson City, NV 89703-4625

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Carson Tahoe Physician Clinics — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Carson City