Patel, Ketan

Patel, Ketan is an individual health care provider with primary practice located at 12648 Bougainvillea Way , Riverside CA 92503-7024. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Patel, Ketan can be contacted via phone (909) 648-4533.

Contact Information

Primary practice address
12648 Bougainvillea Way Riverside CA 92503-7024
Phone: (909) 648-4533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH52341 California

Profile Details

NPI number 1255330338
LBN Legal business name Patel, Ketan
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 8th, 2007 - about 18 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 1255330338 NPPES
California Other RPH52341 PHARMACIST

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