Provider Demographics
NPI:1033373378
Name:JEFFREY R. KAPLAN M.D. LLC
Entity Type:Organization
Organization Name:JEFFREY R. KAPLAN M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:R
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-964-9300
Mailing Address - Street 1:5116 DORSEY HALL DR STE A
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7877
Mailing Address - Country:US
Mailing Address - Phone:410-964-9300
Mailing Address - Fax:410-964-9822
Practice Address - Street 1:5116 DORSEY HALL DR STE A
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7877
Practice Address - Country:US
Practice Address - Phone:410-964-9300
Practice Address - Fax:410-964-9822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD37911207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1927972OtherMEDICARE SUBMITTER ID.