Provider Demographics
NPI:1336503473
Name:ZAPATA, DAVID SAMUEL (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SAMUEL
Last Name: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 1:2200 MEDICAL CENTER BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-7766
Mailing Address - Country:US
Mailing Address - Phone:678-312-3500
Mailing Address - Fax:678-312-3529
Practice Address - Street 1:2200 MEDICAL CENTER BLVD STE 230
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-7766
Practice Address - Country:US
Practice Address - Phone:678-312-3500
Practice Address - Fax:678-312-3529
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA105383208G00000X
MDD94190208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)