Provider Demographics
NPI:1669510947
Name:KAPLAN, GABRIELA (MD)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
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 1:3605 WARRENSVILLE CTR RD
Mailing Address - Street 2:MSC 9152
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:216-286-6299
Mailing Address - Fax:216-286-6341
Practice Address - Street 1:11100 EUCLID AVENUE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-844-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1344722085R0202X
MI43010524512085R0202X
PAMD042621E2085R0202X
NJ25MA056811002085R0202X
ND67402085R0202X
OH350433012085R0202X
IL0360772632085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH440173OtherWELLCARE
OH753961OtherBUCKEYE
OH0304914OtherBCMH
OH0784638Medicaid
OH000000233289OtherUNISON
OHP00454357OtherRAILROAD MEDICARE
OH4504537OtherAETNA
OH000000233289OtherUNISON
OH440173OtherWELLCARE