MEDICARE: CRAIG ALAN KAPLAN MD

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	207Q00000X	Family Medicine Physician	051671	GA
2	207Q00000X	Family Medicine Physician	45241	MN

General Provider Information

NPI Number	:	1962462556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG ALAN KAPLAN MD

Provider Business Mailing Address
First Line	:	3495 PIEDMONT RD NE BLDG 91
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-1717
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 CUMBERLAND PKWY SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-3915
Country	:	US
Telephone Number	:	404-365-0966
Fax Number	:	651-501-3500

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	01/07/2022

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