Individual
KETAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
265 WESTGATE DR, BROCKTON, BROCKTON, MA 02301-1817
(800) 258-4674
(508) 897-3198
Mailing address
265 WESTGATE DR, BROCKTON, BROCKTON, MA 02301-1817
(800) 258-4674
(508) 897-3198
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
216713
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002281
—
MA
01
—
J25903
BCBS
MA
Enumeration date
07/07/2005
Last updated
04/27/2026
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