Shetu Rakesh Patel

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

023702 Issued in GA

Practice address

10894 S River Front Pkwy
South Jordan, UT 84095-5609

Phone

(801) 302-2600

NPI assigned

Sep 22, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1174435226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COTTONWOOD ST NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307014772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10894 S RIVER FRONT PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955609",
            "telephone_number": "801-302-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHETU",
        "middle_name": "RAKESH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "023702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milena Parra
• Judd Ellis Partridge, D.M.D.
• Tiffany Murillo Paskett, ACMHC
• Ana Patricia Pastor, FNP
• Hemant Parsottamdas Patel
• Tina Patel
• Brandie Crystal Paterakis
• Pathways Real Life Recovery
• Israel Patterson
• Jessica Patton

• Student in an Organized Health Care Education/Training Program in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Student in an Organized Health Care Education/Training Program in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.