Provider Demographics
NPI:1275590457
Name:KAPLAN, JEFFREY ROBIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ROBIN
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5116 DORSEY HALL DR.
Mailing Address - Street 2:SUITE A
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
Practice Address - Street 2:SUITE A
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7871
Practice Address - Country:US
Practice Address - Phone:410-964-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-30
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD37911207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE69622Medicare UPIN
MD165MMedicare ID - Type Unspecified