Provider Demographics
NPI:1316950777
Name:KAPLAN, IRA EDWARD (MD)
Entity type:Individual
Prefix:
First Name:IRA
Middle Name:EDWARD
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7845 OAKWOOD RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4280
Mailing Address - Country:US
Mailing Address - Phone:410-760-5638
Mailing Address - Fax:410-760-5630
Practice Address - Street 1:7845 OAKWOOD RD
Practice Address - Street 2:SUITE 300
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4280
Practice Address - Country:US
Practice Address - Phone:410-760-5638
Practice Address - Fax:410-760-5630
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD25611207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCE489OtherBLUE SHIELD
MD85117OtherMAMSI
MD382101300Medicaid
MD32691002OtherBLUE SHIELD
DCE489OtherBLUE SHIELD
MD382101300Medicaid