Provider Demographics
NPI:1649296443
Name:TOPALOV, MIGUEL (MD)
Entity type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:
Last Name:TOPALOV
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 1:915 W MICHIGAN ST.
Mailing Address - Street 2:YAGER BUILDING SUITE 302
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365
Mailing Address - Country:US
Mailing Address - Phone:937-492-3191
Mailing Address - Fax:937-492-3197
Practice Address - Street 1:915 W. MICHIGAN ST.
Practice Address - Street 2:YAGER BUILDING SUITE 302
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365
Practice Address - Country:US
Practice Address - Phone:937-492-3191
Practice Address - Fax:937-492-3197
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35047159207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0495585Medicaid
OH35-04 7159OtherLICENSE NUMBER
OH1649296443OtherNPI
OH31-1117693OtherFEDERAL ID
OH31-1117693OtherFEDERAL ID
OH1649296443OtherNPI