MEDICARE: DR GARY S KAPLAN PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	GK000625	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0H23403	OTHER	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4858213300	OTHER	BCBS

General Provider Information

NPI Number	:	1831374198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR GARY S KAPLAN PC

Provider Business Mailing Address
First Line	:	14608 GRATIOT AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-1931
Country	:	US
Telephone Number	:	313-527-6030
Fax Number	:	313-527-3189

Provider Business Practice Location Address
First Line	:	14608 GRATIOT AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-1931
Country	:	US
Telephone Number	:	313-527-6030
Fax Number	:	313-527-3189

Authorized Official
Title or Position	:	OWNER
Name	:	GARY S KAPLAN
Credential	:	DPM
Telephone Number	:	313-527-6030

Provider Enumeration Date	:	01/07/2008
Last Update Date	:	10/20/2015

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