Healthcare Provider Details

I. General information

NPI: 1134658321
Provider Name (Legal Business Name): ALAN GONZALEZ ZAPATA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2017
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date: 01/11/2018
Reactivation Date: 01/18/2018

III. Provider practice location address

631 SW HORNE ST STE 300
TOPEKA KS
66606-1663
US

IV. Provider business mailing address

631 SW HORNE ST STE 300
TOPEKA KS
66606-1663
US

V. Phone/Fax

Practice location:
  • Phone: 785-232-4248
  • Fax: 785-232-0945
Mailing address:
  • Phone: 785-232-4248
  • Fax: 785-232-0945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number4-44799
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: