Provider Demographics
NPI:1023304086
Name:MICHAEL S KAPLAN PHD MD PC
Entity type:Organization
Organization Name:MICHAEL S KAPLAN PHD MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-744-5133
Mailing Address - Street 1:2121 FOUNTAIN DR
Mailing Address - Street 2:STE D
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7023
Mailing Address - Country:US
Mailing Address - Phone:410-744-5133
Mailing Address - Fax:410-788-1452
Practice Address - Street 1:2121 FOUNTAIN DR
Practice Address - Street 2:STE D
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-7023
Practice Address - Country:US
Practice Address - Phone:410-744-5133
Practice Address - Fax:410-788-1452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty