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NPI Code Detail

MEDICARE: DR. DAMARA LEE KAPLAN PHD, M.D.

MEDICARE: DR. DAMARA LEE KAPLAN PHD, M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician99-63NM

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1340020618OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174525257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAMARA LEE KAPLAN PHD, M.D.
Provider Business Mailing Address
First Line : 610 BROADWAY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-2372
Country : US
Telephone Number : 505-242-3991
Fax Number : 505-243-8405
Provider Business Practice Location Address
First Line : 4901 LANG AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-4397
Country : US
Telephone Number : 505-842-8171
Fax Number : 505-246-0684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 04/08/2021

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