Provider Demographics
NPI:1518945971
Name:TOPLAK, BOGDAN A (MD)
Entity type:Individual
Prefix:DR
First Name:BOGDAN
Middle Name:A
Last Name:TOPLAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 951603
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0018
Mailing Address - Country:US
Mailing Address - Phone:614-546-4621
Mailing Address - Fax:614-546-4441
Practice Address - Street 1:495 COOPER RD STE 311
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8729
Practice Address - Country:US
Practice Address - Phone:614-879-9384
Practice Address - Fax:614-879-9949
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35065542207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F71980Medicare UPIN