MEDICARE: RAYMOND SAMUEL 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	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	12840	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00784099	OTHER	SC	RAILROAD MEDICARE ID-EFF 5/1/2009

Other Identifiers

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

General Provider Information

NPI Number	:	1669457016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND SAMUEL KAPLAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 751649
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1649
Country	:	US
Telephone Number	:	843-789-1620
Fax Number	:	843-724-2440

Provider Business Practice Location Address
First Line	:	125 DOUGHTY ST
Second Line	:	SUITE 280
City	:	CHARLESTON
State	:	SC
Zip	:	29403-5736
Country	:	US
Telephone Number	:	843-958-8877
Fax Number	:	843-958-8878

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

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	03/16/2012

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Directions to “ RAYMOND SAMUEL KAPLAN M.D.” Practice Location

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