Provider Demographics
NPI:1669400362
Name:KAPLAN, GARY EDWARD (DO)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:EDWARD
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6829 ELM ST.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3845
Mailing Address - Country:US
Mailing Address - Phone:703-532-4892
Mailing Address - Fax:703-237-3105
Practice Address - Street 1:6829 ELM ST.
Practice Address - Street 2:SUITE 300
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3845
Practice Address - Country:US
Practice Address - Phone:703-532-4892
Practice Address - Fax:703-237-3105
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102036817171100000X, 204D00000X, 207Q00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No171100000XOther Service ProvidersAcupuncturist
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC087148G57Medicare ID - Type Unspecified
D18031Medicare UPIN