Provider Demographics
NPI:1538117536
Name:KAPLAN, CHARLES S (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:S
Last Name:KAPLAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5055 E. BROADWAY BLVD STE A-100
Mailing Address - Street 2:ARIZONA COMMUNITY PHYSICIANS PC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:5880 N LA CHOLLA BLVD
Practice Address - Street 2:CASAS ADOBES INTERNAL MEDICINE #180
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741
Practice Address - Country:US
Practice Address - Phone:520-751-3695
Practice Address - Fax:520-547-2390
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2009-05-13
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Provider Licenses
StateLicense IDTaxonomies
AZ15968207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E23914Medicare UPIN