Provider Demographics
NPI:1649388109
Name:KAPLAN, STUART HARRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:HARRIS
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 1:435 N ROXBURY DR STE 210
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5004
Mailing Address - Country:US
Mailing Address - Phone:310-858-7880
Mailing Address - Fax:310-858-7887
Practice Address - Street 1:435 N ROXBURY DR STE 210
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5004
Practice Address - Country:US
Practice Address - Phone:310-858-7880
Practice Address - Fax:310-858-7887
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG55704207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG557040Medicaid
CAG55704Medicare ID - Type Unspecified
CAA53020Medicare UPIN