Medical Board of California
Licensing details for: PTL 11333
Name: Patel, Antikkumar Maheshbhai
License Type: Postgraduate Training License
Primary Status: License Canceled

School Name: St. George's University School of Medicine
Graduation Year: 2022
Previous Names: Patel, Antikkumar
Current Enrolled Postgraduate Training Program
Facility Name: HCA HEALTHCARE/LOS ROBLES REGIONAL MEDICAL CENTER PROGRAM
City: Thousand Oaks
State: California
Speciality: Neurology
Start Date: 07/01/2022
Anticipated End Date: 09/30/2024
Address of Record
1712 E Thousand Oaks Blvd Apt 209
THOUSAND OAKS CA 91362-2968
VENTURA county
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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, Antikkumar Maheshbhai
License/Registration Type: Physician's and Surgeon's
License Number: 208257 Primary Status: License Renewed & Current
Address :
1820 Via Petirrojo
Apt F
THOUSAND OAKS CA 91320-5952
VENTURA COUNTY



