Provider Demographics
NPI:1538123856
Name:KAPLAN, PETER DONALD (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:DONALD
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 1:490 E NORTH AVE
Mailing Address - Street 2:STE 303
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212
Mailing Address - Country:US
Mailing Address - Phone:412-321-3344
Mailing Address - Fax:412-322-5324
Practice Address - Street 1:490 E NORTH AVE
Practice Address - Street 2:STE 300
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212
Practice Address - Country:US
Practice Address - Phone:412-321-3344
Practice Address - Fax:412-322-5324
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015845E207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0509426Medicaid
PA0081440200007Medicaid
WV0083710000Medicaid
KA098096Medicare ID - Type Unspecified
PA0081440200007Medicaid
PA098096NJYMedicare PIN