Provider Demographics
NPI:1558307728
Name:KAPLAN, ROY A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:A
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9017
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-0917
Mailing Address - Country:US
Mailing Address - Phone:925-952-2888
Mailing Address - Fax:925-952-2845
Practice Address - Street 1:2700 GRANT ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2266
Practice Address - Country:US
Practice Address - Phone:925-952-2888
Practice Address - Fax:925-952-2845
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG30491207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G304910Medicaid
CAA44440Medicare UPIN
CA00G304910Medicaid