Organization
KETAN PATEL MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETANKUMAR V PATEL M.D. (PRESIDENT)
(215) 237-2500
Entity
Organization
Contact information
Practice address
312 REGENCY DR, NORTH WALES, PA 19454-1618
(215) 237-2500
(215) 646-3466
Mailing address
312 REGENCY DR, NORTH WALES, PA 19454-1618
(215) 237-2500
(215) 646-3466
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD052448L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073522570002
—
PA
01
—
0710600000
INDEPENDENCE BC/BS
PA
01
—
238954
MHN
PA
01
—
4559785
AETNA
PA
01
—
766551
HIGH MARK BLUE CROSS
PA
Enumeration date
03/29/2008
Last updated
11/17/2008
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