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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447254131 | NPPES |
| Georgia | MEDICAID | 00915725A |
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