Provider Demographics
NPI:1750359543
Name:KAPLAN, ROBERT J (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6401 POPLAR AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4806
Mailing Address - Country:US
Mailing Address - Phone:901-682-3273
Mailing Address - Fax:901-682-6559
Practice Address - Street 1:6401 POPLAR AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4806
Practice Address - Country:US
Practice Address - Phone:901-682-3273
Practice Address - Fax:901-682-6559
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN8281207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3162895Medicaid
TN3162895Medicaid
TN3162895Medicare PIN