Healthcare Provider Details

I. General information

NPI: 1801911789
Provider Name (Legal Business Name): RONALD IVAN KAPLAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 SANDY SPRINGS CIR NE SUITE 200
ATLANTA GA
30328-3897
US

IV. Provider business mailing address

333 SANDY SPRINGS CIR NE SUITE 200
ATLANTA GA
30328-3897
US

V. Phone/Fax

Practice location:
  • Phone: 404-845-0012
  • Fax: 404-845-0028
Mailing address:
  • Phone: 404-845-0012
  • Fax: 404-845-0028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: