Individual
DR. KETUL RAMAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3635 S CLYDE MORRIS BLVD, STE 100, PORT ORANGE, FL 32129-2300
(386) 788-1242
(386) 756-8802
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-3385
(904) 265-4807
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME112375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005791900
—
FL
Enumeration date
04/08/2007
Last updated
10/04/2012
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