Provider Demographics
NPI:1932413432
Name:MIGUEL TOPALOV MD INC
Entity Type:Organization
Organization Name:MIGUEL TOPALOV MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOPALOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-492-3191
Mailing Address - Street 1:915 MICHIGAN ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-2401
Mailing Address - Country:US
Mailing Address - Phone:937-492-3191
Mailing Address - Fax:937-492-3197
Practice Address - Street 1:915 WEST MICHIGAN STREET
Practice Address - Street 2: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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35047159174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0495585Medicaid
OH35047159OtherLICENSE NUMBER
OH35047159OtherLICENSE NUMBER
OHAT1515824OtherDEA NUMBER