Individual
DR. KETAKI A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
103 MILLBURY ST, AUBURN, MA 01501-3205
(508) 721-4100
Mailing address
25282 NORTHWEST FWY STE 200, CYPRESS, TX 77429-1083
(281) 737-2165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217080
MA
207R00000X
Internal Medicine Physician
Primary
R8961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010402
—
MA
Enumeration date
11/23/2005
Last updated
03/11/2021
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