# KETAN PATEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316320864
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A184155 | CA | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 25MA10871500 | NJ | — |
| 208VP0000X | Pain Medicine Physician | A184155 | CA | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | A184155 | CA | — |

## Other

- **Enumeration date:** 07/01/2015
- **Last updated:** 06/12/2026