Provider Demographics
NPI:1932272317
Name:KAPLAN, PAUL ELIAS (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ELIAS
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:104 SUMMER SHADE CT
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-1565
Mailing Address - Country:US
Mailing Address - Phone:916-799-1801
Mailing Address - Fax:916-988-9919
Practice Address - Street 1:5650 MARCONI AVE STE 6
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608
Practice Address - Country:US
Practice Address - Phone:916-799-1801
Practice Address - Fax:916-927-1245
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2019-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG14089204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1812PITNMedicaid