Practitioner Profile Portal

This data was extracted on 3/13/2026.

Profile

License Number: C0004470 Krutiben Vishnubhai Patel
License Type: Physician Assistant
License Status: Active
License Issued: 05/12/2011 License Expiration: 06/30/2027

Licensure Pathway: Traditional
Special License Category: N/A

Education

N/A

Medical Assistance

Accept Medicaid? N/A

Maryland Hospital Privilege Information (as reported by licensee)

Licensee has not reported Maryland Hospital Privilege information for the profile site.

Medical Licenses Held in Other States (as reported by licensee)

Licensee has not reported Medical Licenses Held in Other States information for the profile site.

Physician Assistant Notification of Collaboration Agreements

Collaboration Agreements have not been reported for the profile site.

Active Supervisee - Delegation Agreement For Core Duties

Download all Maryland Disciplinary Actions (not time-limited)

All Orders are downloaded in .pdf format.

Order#: 03012019 dated 03/01/2019
Order#: 01142019 dated 01/14/2019

Summary of Known Disciplinary Actions by any state medical board

In Maryland:

Date of Action: 03/01/2019	State: MD
Summary: Fine of $500.00 satisfied. The practitioner has paid the fine imposed under the Consent Order, dated January 14, 2019. The reprimand remains in effect.
Date of Action: 01/14/2019	State: MD
Summary: Reprimand. Civil fine of $500.00; payable within six months. The practitioner is guilty of failing to submit to a criminal history records check.