Individual
MS. EKTA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4000 CIVIC CENTER DR STE 200B, SAN RAFAEL, CA 94903-5232
(415) 492-3333
Mailing address
681 PENNSYLVANIA AVE, SAN FRANCISCO, CA 94107-2915
(630) 827-9026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-008905
IL
363A00000X
Physician Assistant
Primary
PA60634
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2020
Last updated
01/12/2026
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