Provider Demographics
NPI:1427345032
Name:KAPLAN-LIST, KATIA (MD)
Entity type:Individual
Prefix:DR
First Name:KATIA
Middle Name:
Last Name:KAPLAN-LIST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATIA
Other - Middle Name:KAPLAN
Other - Last Name:LIST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2904 VICTORIA PL APT B4
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-1354
Mailing Address - Country:US
Mailing Address - Phone:563-676-9087
Mailing Address - Fax:
Practice Address - Street 1:800 MEADOWS RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2304
Practice Address - Country:US
Practice Address - Phone:563-676-9087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-03
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD179712085R0202X
MI43011146502085R0202X
FLME1301992085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology