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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | KETANKUMAR PATEL | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | KETANKUMAR | [sources] | |||
| Last name | PATEL | [sources] | |||
| NPI | 1902819352 | [sources] | |||
| Sector | DENTIST | [sources] | |||
| Position | DENTIST (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 1082 MOORES MILL RD NW, ATLANTA, GA 30327 | [sources] | |||
| Last change | Last processed | First seen | |||
Providers who have been terminated for cause from Georgia's Medicaid program.
United States · DCH
People and companies excluded from Federally funded health care programs
United States · OIG
us-fed-excl-ketankumar-patel-30327-atlanta · us-medga-6b5b86077fbcda7ec4feda1046cde3a9e900acc6For experts: raw data explorer
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| United States | Georgia Department of Community Health | - | - |