Provider Demographics
NPI:1407126345
Name:MELAMED-KAPLAN, SHARI AVIVA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:AVIVA
Last Name:MELAMED-KAPLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 WHIPPOORWILL RD
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-2312
Mailing Address - Country:US
Mailing Address - Phone:914-690-6109
Mailing Address - Fax:914-690-6222
Practice Address - Street 1:301 WHIPPOORWILL RD
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-2312
Practice Address - Country:US
Practice Address - Phone:914-690-6109
Practice Address - Fax:914-690-6222
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY156185207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine