Healthcare Provider Details

I. General information

NPI: 1124007661
Provider Name (Legal Business Name): ALLEN P KAPLAN M.D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9165 UNIVERSITY BLVD
NORTH CHARLESTON SC
29406-9120
US

IV. Provider business mailing address

9165 UNIVERSITY BLVD
NORTH CHARLESTON SC
29406-9120
US

V. Phone/Fax

Practice location:
  • Phone: 843-797-8162
  • Fax: 843-820-1300
Mailing address:
  • Phone: 843-797-8162
  • Fax: 843-820-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number19143
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: