Individual
KETU PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(803) 286-1214
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
86453
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
04/17/2024
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