Healthcare Provider Details

I. General information

NPI: 1922004027
Provider Name (Legal Business Name): ROBERT B KAPLAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 10/01/2020
Certification Date: 10/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 LIBERTY AVE STE 322
PITTSBURGH PA
15224-2156
US

IV. Provider business mailing address

4815 LIBERTY AVE STE 322
PITTSBURGH PA
15224-2156
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-4484
  • Fax: 412-578-3536
Mailing address:
  • Phone: 412-578-4484
  • Fax: 412-578-3536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberMD051794L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: