Organization
INTERNAL MEDICINE & GERIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETAN K PATEL MD (OWNER)
(513) 831-4811
Entity
Organization
Contact information
Practice address
5714 SIGNAL HILL CT STE C, MILFORD, OH 45150-1459
(513) 831-4811
(513) 831-2912
Mailing address
PO BOX 54927, CINCINNATI, OH 45254-0927
(513) 831-4811
(513) 831-2912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223319
ANTHEM
OH
05
—
2194307
—
OH
Enumeration date
12/27/2006
Last updated
08/22/2020
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