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Licensing details for: A 191490

Name: PATEL, VIKESH PANKAJ

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: California University of Science and Medicine – School of Medicine

Graduation Year: 2022

Previous Names: Patel, Vikesh

Address of Record

3050 Mission Inn Ave Apt 203
RIVERSIDE CA 92507-4220
RIVERSIDE county
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Issuance Date

October 12, 2023

Expiration Date

December 31, 2027

Current Date / Time

April 3, 2026
4:07:26 PM

Public Record Actions

Public Documents

License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: PATEL, VIKESH PANKAJ

License/Registration Type: Postgraduate Training License

License Number: 11167 Primary Status: License Canceled

Address :
675 Hampshire Rd
apt. 32
WESTLAKE VILLAGE CA 91361-2378
VENTURA COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Postgraduate Training
Postgraduate Training Years
Decline to State
Primary Area of Practice
Radiology
Secondary Area of Practice
Decline to State
ABMS Certifications
Other - Decline to State
Are you retired?
No
Practice Activities
Direct Patient Care (including telehealth) - Decline to State

Training - Decline to State
Research - Decline to State
Administration - Decline to State
Other - Decline to State
Primary Practice Location
Decline to State
Secondary Practice Location
Decline to State
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Decline to State

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