Individual
KEVIN RAMESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10820 N TORREY PINES RD, LA JOLLA, CA 92037-1036
(858) 554-8646
Mailing address
12700 PARK CENTRAL DR STE 1210, DALLAS, TX 75251-1522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A184958
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A184958
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
04/25/2024
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