Whalio Doctors

NPI 1003893454

Nikhil Sudhakar Wagle, MD

Practitioner Ophthalmology Physician Rock Island, IL

Practice location

Address
4731 45th Street CT, Rock Island, IL 61201-7102
Phone
(309) 793-2020
Fax
(309) 793-2602
Mailing address
777 Tanglefoot Ln, Bettendorf, IA 52722-1650

Registered specialties (4)

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 036-100181 (IL)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 33115 (IA)
Glaucoma Specialist (Ophthalmology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207WX0009X Licence 036-100181 (IL)
Glaucoma Specialist (Ophthalmology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207WX0009X Licence 33115 (IA)

Registry record

NPI
1003893454
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Dec 2005
Record last updated
17 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.