Healthcare Provider Details

I. General information

NPI: 1881622090
Provider Name (Legal Business Name): MICHAEL S. KAPLAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 12/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 W HORIZON RIDGE PKWY SUITE 120
HENDERSON NV
89052-2898
US

IV. Provider business mailing address

7150 W SUNSET RD SUITE 201A
LAS VEGAS NV
89113-1981
US

V. Phone/Fax

Practice location:
  • Phone: 702-454-6226
  • Fax: 702-454-7290
Mailing address:
  • Phone: 702-385-4342
  • Fax: 702-385-4346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number5983
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: