Individual
DR. CHETAN K PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 E ALTAMONTE DR, STE 210, ALTAMONTE SPRINGS, FL 32701-4806
(407) 303-5452
(407) 303-5448
Mailing address
711 E ALTAMONTE DR, STE 210, ALTAMONTE SPRINGS, FL 32701-4806
(407) 303-5452
(407) 303-5448
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301067694
MI
207X00000X
Orthopaedic Surgery Physician
ME105726
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME105726
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0767220001
ADMINISTAR FEDERAL
MI
01
—
0F31114
BCBS
MI
01
—
0F33583
BCBS DME
MI
05
—
4570593
—
MI
Enumeration date
11/15/2005
Last updated
02/22/2019
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