Wagle, Nikhil Sudhakar

Wagle, Nikhil Sudhakar is an individual health care provider with primary practice located at 4731 45Th Street Ct , Rock Island IL 61201-7102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Wagle, Nikhil Sudhakar can be contacted via phone (309) 793-2020.

Contact Information

Primary practice address
4731 45Th Street Ct Rock Island IL 61201-7102
Phone: (309) 793-2020
Fax: (309) 793-2602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 33115 Iowa
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 036-100181 Illinois
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 33115 Iowa
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-100181 Illinois

Profile Details

NPI number 1003893454
LBN Legal business name Wagle, Nikhil Sudhakar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Mar 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003893454 NPPES
Iowa Other 0060350 IA GROUP MEDICAID
Iowa Other 26568 IA GROUP MEDICAID
Iowa Other 790730 IA GROUP MEDICAID

Popular Providers