Patel, Ketan B

Patel, Ketan B is an individual health care provider with primary practice located at 1720 Honey Creek Commons Ste B, Conyers GA 30013-5826. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Patel, Ketan B can be contacted via phone (770) 483-1100.

Contact Information

Primary practice address
1720 Honey Creek Commons Ste B Conyers GA 30013-5826
Phone: (770) 483-1100
Fax: (770) 483-5855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000928 Georgia

Profile Details

NPI number 1447254131
LBN Legal business name Patel, Ketan B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 9th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447254131 NPPES
Georgia MEDICAID 00915725A

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