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Individual

DR. KETAN KAKALBHAI PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5714 SIGNAL HILL CT STE C, MILFORD, OH 45150-1459
(513) 831-4811
(513) 795-0754
Mailing address
5714 C SIGNAL HILL, MILFORD, OH 45150-2416
(513) 831-4811
(513) 795-0754

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S9964
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35074670
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000223319
ANTHEM PIN
OH
05
2194307
OH
Enumeration date
05/26/2006
Last updated
04/22/2024
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