Provider Demographics
NPI:1013315373
Name:ROBERT J KAPLAN, MD PLLC
Entity Type:Organization
Organization Name:ROBERT J KAPLAN, MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-682-3273
Mailing Address - Street 1:6401 POPLAR AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4806
Mailing Address - Country:US
Mailing Address - Phone:901-682-3773
Mailing Address - Fax:901-682-6559
Practice Address - Street 1:6401 POPLAR AVE STE 330
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4806
Practice Address - Country:US
Practice Address - Phone:901-682-3773
Practice Address - Fax:901-682-6559
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERT J KAPLAN, MD PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8281207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3162895Medicaid
TN3162895Medicaid
TN3162895Medicare PIN