Individual
EKTA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 CHILDRENS WAY # MC5097, SAN DIEGO, CA 92123-4223
(858) 966-4936
Mailing address
3020 CHILDRENS WAY # MC5097, SAN DIEGO, CA 92123-4223
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
145114
CA
2084P0800X
Psychiatry Physician
286285
NY
Other
Enumeration date
04/03/2013
Last updated
10/09/2019
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