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Licensing details for: PTL 11167

Name: PATEL, VIKESH PANKAJ

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

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

Graduation Year: 2022

Previous Names: Patel, Vikesh

Current Enrolled Postgraduate Training Program

Facility Name: HCA HEALTHCARE/LOS ROBLES REGIONAL MEDICAL CENTER PROGRAM

City: Thousand Oaks

State: California

Speciality: Internal Medicine

Start Date: 07/01/2022

Anticipated End Date: 06/30/2023

Address of Record

675 Hampshire Rd
apt. 32
WESTLAKE VILLAGE CA 91361-2378
VENTURA county
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Issuance Date

January 17, 2023

Expiration Date

N/A

Current Date / Time

April 3, 2026
2:52:24 PM

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: PATEL, VIKESH PANKAJ

License/Registration Type: Physician's and Surgeon's

License Number: 191490 Primary Status: License Renewed & Current

Address :
3050 Mission Inn Ave Apt 203
RIVERSIDE CA 92507-4220
RIVERSIDE COUNTY

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