Dr. Nikhil Sudhakar Wagle
Ophthalmologist
4731 45th Street Ct
Rock Island
, Illinois 61201-7102
Dr. Nikhil Sudhakar Wagle
Ophthalmologist
4731 45th Street Ct
Rock Island
, Illinois 61201-7102
(563) 328-5694
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Nikhil Sudhakar Wagle
- 777 Tanglefoot Ln
- Bettendorf, IA
- Zip : 52722-1650
- Fax : (563) 328-5694
- Phone : (563) 323-2020
Second Address
- Dr. Nikhil Sudhakar Wagle
- 4731 45th Street Ct
- Rock Island, IL
- Zip : 61201-7102
- Fax : (309) 793-2602
- Phone : (309) 793-2020
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 036-100181 | IL |
| N | 207W00000X | Ophthalmologist | 33115 | IA |
National Provider Identifier
| NPI | 1003893454 |
|---|---|
| Provider Name | Dr. Nikhil Sudhakar Wagle |
| First Address | Bettendorf, IA 52722-1650 |
| Second Address | Rock Island, IL 61201-7102 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2005 |
| Last Update Date | 17/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0060350 | IA GROUP MEDICAID (01) | IA |
| 26568 | IA GROUP MEDICARE (01) | IA |
| 790730 | IL GROUP MEDICARE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.