MEDICARE: DR. KETAN B PATEL DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	000928	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447254131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KETAN B PATEL DPM

Provider Business Mailing Address
First Line	:	1975 HIGHWAY 54 W
Second Line	:	SUITE 205
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-4794
Country	:	US
Telephone Number	:	678-561-9000
Fax Number	:	770-487-1232

Provider Business Practice Location Address
First Line	:	1720 HONEY CREEK COMMONS
Second Line	:	STE B
City	:	CONYERS
State	:	GA
Zip	:	30013-5826
Country	:	US
Telephone Number	:	770-483-1100
Fax Number	:	770-483-5855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	12/09/2015

Similar Medicare Providers

1053497826 — ROCKDALE DIAGNOSTICS, LLC
Practice Location Address:

1700 HONEY CREEK COMMONS SE
CONYERS, GA
30013-5826

Practice Phone: 770-918-3100
Practice Fax: 770-918-3837

1114638061 — DR. WESLEY LLOYD CAMPBELL II DC
Practice Location Address:

1927 HIGHWAY 138 NE STE 500
CONYERS, GA
30013-1254

Practice Phone: 770-860-8333
Practice Fax:

1326903006 — PRIME SPINE ENTERPRISES
Practice Location Address:

1927 HIGHWAY 138 NE STE 500
CONYERS, GA
30013-1254

Practice Phone: 770-860-8333
Practice Fax: 770-860-8833

1184316101 — DR. BRITTNEY J STEVENSON DDS
Practice Location Address:

3111 AVALON BLVD STE 100
CONYERS, GA
30013-6756

Practice Phone: 770-375-4383
Practice Fax:

1730043803 — 333 THE WELLNESS OASIS
Practice Location Address:

2274 SALEM RD SE # 1216
CONYERS, GA
30013-2097

Practice Phone: 678-374-9791
Practice Fax:

1720634199 — ADRIENNE LAQUINN TURNER NP
Practice Location Address:

3281 OLD SALEM RD SE
CONYERS, GA
30013-2257

Practice Phone: 404-754-9703
Practice Fax:

Directions to “ DR. KETAN B PATEL DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.