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Individual
RAVI PATEL
Active
Individual
RAVI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A42045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A42045
LICENSE
CA
05
—
GR0069060
—
CA
Enumeration date
09/29/2005
Last updated
11/04/2010
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