Individual
KETAN BIPINCHANDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 TOWNPARK LANE, KAISER PERMANETE TOWNPARK COMPREHENSIVE MEDICAL CENTER, KENNESAW, GA 30144
(770) 514-5401
(478) 471-6769
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 504-5678
(478) 471-6769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
069238
GA
207Q00000X
Family Medicine Physician
Primary
69238
GA
Other
Enumeration date
06/11/2010
Last updated
02/15/2022
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