Medical Board of California
Licensing details for: A 208257
Name: Patel, Antikkumar Maheshbhai
License Type: Physician and Surgeon A
Primary Status: License Renewed & Current

Secondary Status: Probationary License ❖ Limits On Practice
Probation Summary:
School Name: St. George's University School of Medicine
Graduation Year: 2022
Previous Names: Patel, Antikkumar
Address of Record
1820 Via Petirrojo
Apt F
THOUSAND OAKS CA 91320-5952
VENTURA county
Map
License Relationships
Postgraduate Training License associated with Physician & Surgeon License
License/Registration Role: Physician & Surgeon
Related Party Role: Postgraduate Training License
Name: Patel, Antikkumar Maheshbhai
License/Registration Type: Postgraduate Training License
License Number: 11333 Primary Status: License Canceled
Address :
1712 E Thousand Oaks Blvd Apt 209
THOUSAND OAKS CA 91362-2968
VENTURA COUNTY
Survey Information
The following information is self-reported by the licensee and has not been verified by the Board.
No AB 133 Survey Information Provided by Licensee



