Individual
DR. PAUL TRAIANOS KAPLANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6130 TRIER RD, FORT WAYNE, IN 46815-5339
(260) 422-2481
(260) 969-3067
Mailing address
1234 E DUPONT RD, SUITE 3, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031926A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000595578
ANTHEM
IN
01
—
080130049
MEDICARE RR
IN
05
—
100080210
—
IN
Enumeration date
08/20/2006
Last updated
10/23/2009
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