Patel, Ketan

Patel, Ketan is an individual health care provider with primary practice located at 265 Westgate Dr Brockton, Brockton MA 02301-1817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Patel, Ketan can be contacted via phone (800) 258-4674.

Contact Information

Primary practice address
265 Westgate Dr Brockton Brockton MA 02301-1817
Phone: (800) 258-4674
Fax: (508) 897-3198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 216713 Massachusetts

Profile Details

NPI number 1194722074
LBN Legal business name Patel, Ketan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 19th, 2015 - about 9 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 1194722074 NPPES
Massachusetts MEDICAID 2002281
Massachusetts Other J25903

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