Provider Demographics
NPI:1851437131
Name:KAPLAN, MICHAEL JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JAY
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:PROF
Other - First Name:MICHAEL
Other - Middle Name:JAY
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:801 WELCH ROAD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5739
Mailing Address - Country:US
Mailing Address - Phone:650-725-5968
Mailing Address - Fax:650-725-8502
Practice Address - Street 1:875 BLAKE WILBUR DR
Practice Address - Street 2:CC-2225
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5826
Practice Address - Country:US
Practice Address - Phone:650-725-5968
Practice Address - Fax:650-725-8502
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG52414207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G524140Medicaid
CA00G524143Medicare ID - Type Unspecified
CA00G524140Medicaid