Healthcare Provider Details

I. General information

NPI: 1538123856
Provider Name (Legal Business Name): PETER DONALD KAPLAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 12/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 E NORTH AVE STE 300
PITTSBURGH PA
15212
US

IV. Provider business mailing address

490 E NORTH AVE STE 303
PITTSBURGH PA
15212
US

V. Phone/Fax

Practice location:
  • Phone: 412-321-3344
  • Fax: 412-322-5324
Mailing address:
  • Phone: 412-321-3344
  • Fax: 412-322-5324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD015845E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: