Provider Demographics
NPI:1326105271
Name:CAPLAN, CHARLES H (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:H
Last Name:CAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4033 TALBOT RD S
Mailing Address - Street 2:STE 230
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5772
Mailing Address - Country:US
Mailing Address - Phone:425-656-4200
Mailing Address - Fax:425-656-4258
Practice Address - Street 1:4033 TALBOT RD S
Practice Address - Street 2:STE 230
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5772
Practice Address - Country:US
Practice Address - Phone:425-656-4200
Practice Address - Fax:425-656-4258
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00012047207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAA04210Medicare UPIN