Individual
MIJJAL GOPAL SHRESTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 681-8577
Mailing address
1770 GRAND CONCOURSE APT 7J, BRONX, NY 10457-5542
(347) 638-5999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
79478
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/06/2023
Last updated
04/29/2026
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