Individual
KETAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
912 S FLEISHEL AVE, TYLER, TX 75701-2018
(903) 592-6901
(903) 595-2571
Mailing address
912 S FLEISHEL AVE, TYLER, TX 75701-2018
(903) 592-6901
(903) 595-2571
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
N7858
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
N7858
TX
207RP1001X
Pulmonary Disease Physician
Primary
N7858
TX
Other
Enumeration date
07/10/2007
Last updated
11/05/2013
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