DR. KETAN B PATEL (NPI# 1447254131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447254131 |
| Entity Type | Individual |
| Full Name | DR. KETAN B PATEL |
| Credential | DPM |
| Practice Address |
1720 Honey Creek Commons Ste B Conyers GA 30013-5826 |
| Mailing Address |
1975 Highway 54 W Suite 205 Peachtree City GA 30269-4794 |
| Practice Telephone | 7704831100 |
| Practice Fax Number | 7704835855 |
| Mailing Telephone | 6785619000 |
| Mailing Fax Number | 7704871232 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2015-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000928 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00915725A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1316320864 | Ketan Patel | Student in an Organized Health Care Education/Training Program | 1136 N La Palma Park Way, Anaheim, CA 92801-2413 | 2015-07-01 |
| 1265729487 | Ketan Bhulabhai Patel | Pediatrics | 57 Butterwood Ln W, Irvington, NY 10533-2335 | 2011-07-08 |
| 1588837819 | Ketan K Patel | Pharmacist | 3 Indian Ln, Tyngsboro, MD 01879-2806 | 2008-04-08 |
| 1982713137 | Ketan C Patel | Dentist | 6112 Van Buren Blvd, Riverside, CA 92503-8003 | 2006-08-30 |
| 1699721050 | Ketan Kakalbhai Patel | Internal Medicine | 5714 Signal Hill Ct Ste C, Milford, OH 45150-1459 | 2006-05-26 |
| 1255330338 | Ketan Patel | Pharmacist | 12648 Bougainvillea Way, Riverside, CA 92503-7024 | 2005-07-20 |
| 1003814146 | Ketan P Patel | Internal Medicine | 9 Medical Pkwy, Ste 308, Dallas, TX 75234 | 2005-07-12 |
| 1245748615 | Ketan Patel | Pharmacist | 911 Highway 321 N, Lenoir City, TN 37771-6425 | 2018-01-18 |
| 1679924229 | Ketan Patel | Physician Assistant | 1390 W 16th St, Yuma, AZ 85364-4430 | 2016-06-24 |
| Street Address |
1720 HONEY CREEK COMMONS STE B |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-5826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649631037 | Foot and Ankle Institute of Georgia | Podiatrist | 1815 Highway 138 Se # Sr, Suite 600, Conyers, GA 30013-2079 | 2016-03-11 |
| 1356323778 | James Edwin Williams Jr. | Podiatrist | 1025 E Freeway Dr Se, Conyers, GA 30094-5965 | 2005-11-20 |
| 1700885910 | Gerald Wayne Newman Jr. | Podiatrist | 1567 Milstead Rd Ne, Suite A, Conyers, GA 30012-3835 | 2005-07-19 |
| 1043773914 | Foot and Ankle Reconstruction Center of Georgia LLC | Podiatrist | 1025 E Freeway Dr Se, Conyers, GA 30094-5965 | 2019-04-09 |
| 1285186452 | Shadae Mcmillan | Podiatrist | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2016-11-03 |
| 1164812202 | Alvin Jeffrey Cowans II | Podiatrist | 1025 E Freeway Dr Se, Conyers, GA 30094-5965 | 2015-01-28 |
| 1760802268 | Darrice Collins | Podiatrist | 1025 E Freeway Dr Se, Conyers, GA 30094 | 2014-04-23 |
| 1639478407 | Adrianne J Ross | Podiatrist | 1815 Highway 138 Se, Suite 600, Conyers, GA 30013-2079 | 2011-03-19 |
| 1063697951 | Ankle and Foot Specialists of Rockdale | Podiatrist | 1025 E Freeway Dr Se, Conyers, GA 30094-5965 | 2008-01-09 |
| 1932393253 | Associated Foot & Ankle Specialists, P.C. | Podiatrist | 1567 Milstead Rd Ne, Suite A, Conyers, GA 30012-3835 | 2007-08-29 |
| Find all providers in CONYERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.