Healthcare Provider Details

I. General information

NPI: 1467461855
Provider Name (Legal Business Name): ALEJANDRO ZAPATA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5528 METROPOLITAN PKWY
STERLING HEIGHTS MI
48310-4105
US

IV. Provider business mailing address

5528 METROPOLITAN PKWY
STERLING HEIGHTS MI
48310-4105
US

V. Phone/Fax

Practice location:
  • Phone: 586-795-3232
  • Fax: 586-795-5540
Mailing address:
  • Phone: 586-795-3232
  • Fax: 586-795-5540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301033692
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: