Provider Demographics
NPI:1134658321
Name:GONZALEZ ZAPATA, ALAN (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:GONZALEZ ZAPATA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 SW HORNE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1663
Mailing Address - Country:US
Mailing Address - Phone:785-232-4248
Mailing Address - Fax:785-232-0945
Practice Address - Street 1:631 SW HORNE ST STE 300
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1663
Practice Address - Country:US
Practice Address - Phone:785-232-4248
Practice Address - Fax:785-232-0945
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2022-03-17
Deactivation Date:2018-01-11
Deactivation Code:
Reactivation Date:2018-01-18
Provider Licenses
StateLicense IDTaxonomies
KS4-44799207RS0012X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS04-44799OtherKANSAS STATE LICENSE