MEDICARE: DR. STUART HARRIS KAPLAN 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
1	207N00000X	Dermatology Physician	G55704	CA
2	207ND0101X	MOHS-Micrographic Surgery Physician	G55704	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1649388109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART HARRIS KAPLAN M.D.

Provider Business Mailing Address
First Line	:	435 N ROXBURY DR STE 210
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-5004
Country	:	US
Telephone Number	:	310-858-7880
Fax Number	:	310-858-7887

Provider Business Practice Location Address
First Line	:	435 N ROXBURY DR STE 210
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-5004
Country	:	US
Telephone Number	:	310-858-7880
Fax Number	:	310-858-7887

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2006
Last Update Date	:	01/09/2008

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Directions to “ DR. STUART HARRIS KAPLAN M.D.” Practice Location

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