Individual
KETAN M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5411 ETIWANDA AVE STE 200, TARZANA, CA 91356-3648
(310) 423-2129
(310) 423-4145
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A132442
CA
208200000X
Plastic Surgery Physician
MD040884
DC
Other
Enumeration date
05/21/2009
Last updated
09/07/2022
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