Ketan R Patel

NPI #1114326956 in Princeton, Illinois

Provider Information

NPI Number: 1114326956
Entity Type: Organization
Organization Name: Ketan R Patel
Primary Specialty: Internal Medicine
Enumeration Date: Aug 18, 2014
Last Updated: Aug 18, 2014

Practice Location

Address: 530 PARK AVE E
Address 2: SUITE 101
City: Princeton
State: Illinois
ZIP Code: 61356-3901
Phone: (815) 872-1221

Authorized Official

Name: DR. KETAN R PATEL, MD
Title: SELF EMPLOYED
Phone: (815) 872-1221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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