Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 12840 | SC |
NPI | 1669457016 |
---|---|
Provider Name | Raymond Samuel Kaplan |
First Address | Charlotte, NC 28275-1649 |
Second Address | Charleston, SC 29403-5736 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 16/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
128409 | (05) | SC |
D17525 | (02) | SC |
P00784099 | RAILROAD MEDICARE ID-EFF 5/1/2009 (01) | SC |