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Individual
KETAN M. PATEL
Active
Individual
KETAN M. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
63790
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000870001
DME PROVIDER
VA
01
—
110219768
RAILROAD MEDICARE
—
01
—
146213
SOUTHERN HEALTH
—
01
—
1804781000
WV MEDICAID
WV
01
—
20649
OPTIMA
VA
01
—
286053
ANTHEM/BCBS
—
05
—
473139726B
—
GA
05
—
5853745
—
VA
01
—
700027131
CIGNA
—
Enumeration date
07/31/2006
Last updated
01/19/2017
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