Provider Demographics
NPI:1215978564
Name:KAPLAN, PHILIP JONATHAN (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:JONATHAN
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:107 AUTUMN WIND WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2872
Mailing Address - Country:US
Mailing Address - Phone:301-279-5805
Mailing Address - Fax:301-279-9023
Practice Address - Street 1:15204 OMEGA DR STE 100
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4812
Practice Address - Country:US
Practice Address - Phone:301-279-6750
Practice Address - Fax:301-208-8953
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-11-13
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Provider Licenses
StateLicense IDTaxonomies
MDD0052120207PP0204X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD257702000Medicaid
DC007901S58Medicare PIN