In the U.S. it means motel owner.
In Delaware, it means 7-11 or Dunkin Doughnuts, according to Joe Biden.
http://youtube.com/watch?v=OIT3jUrNTX0&search=joe%20biden
However, in Ohio, it means physician.
That's true. I worked for a Waste Disposal company for years. We hauled garbage for virtually all the sleezy motels along the Broadway strip here. Virtually all of these guys were Patel's. There was one motel that advertised "American Owned" on their sign out front, even they had us. We had most of the business on this corridor, because we were the least expensive. These Indian guys are really TIGHT with their money. I read later in our local paper when they were interviewing several of the Patel's regarding prostitution (What do you think goes on at those places? ;-) The newspaper revealed that the Indian name Patel means "landowner". That is how I knew. :-)
It also means "doctor".
-ccm
or......
service station owner;
taco bell owner;
Econo Lodge owner;
etc. etc...etc...