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Contact Information

KETAN M PATEL, MD
1200 NORTHSIDE FORSYTH DR
CUMMING, GA30041-7659
 Phone: 770-844-3200
 Fax: 404-851-6325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for KETAN M PATEL · (Male)

NPI Number 1326054305
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2006
Last updated 01/19/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 63790
  • GA Medicaid 473139726B
  • VA Medicaid 5853745
  • Other 286053 ANTHEM/BCBS
  • Other 700027131 CIGNA
  • Other 110219768 RAILROAD MEDICARE
  • Other 146213 SOUTHERN HEALTH
  • VA Other 1000870001 DME PROVIDER
  • VA Other 20649 OPTIMA
  • WV Other 1804781000 WV MEDICAID
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL CHEROKEE - (Acute Care)
    201 HOSPITAL ROAD
    CANTON, GA 30114
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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