SOPHIA B. PETKOV M.D. NPI 1801911359

NPI Information

NPI: 1801911359
Provider Name: SOPHIA B. PETKOV, M.D.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
75 POWHATTON DR
MILFORD, OH
ZIP 45150
Phone: (513) 831-3310
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SOPHIA B. PETKOV, M.D. is a primary care clinic center in Milford, OH. SOPHIA B. PETKOV, M.D. NPI is 1801911359. The provider is registered as an organization entity type.

The provider's business location address is:

75 POWHATTON DR
MILFORD, OH
ZIP 45150-661
Phone: (513) 831-3310
Fax: (513) 831-3311

The provider's authorized official is Sophia B Petkov .
The authorized official title is Doctor and has the following contact phone number (513) 831-3310.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000006898	OTHER	OHIO	ANTHEM BC-BS
2	36901	OTHER	OHIO	HUMANA CHOICE CARE
3	0247638	MEDICAID	OHIO
4	645595	OTHER	OHIO	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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