Individual
DR. KETAN N PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 COOPER ST FL 1, FORT WORTH, TX 76104-2710
(682) 885-6179
(682) 885-2874
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N3236
TX
2080P0210X
Pediatric Nephrology Physician
Primary
N3236
TX
Other
Enumeration date
06/02/2010
Last updated
04/15/2021
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