| Vikram Agrawal, MD | |
|
600 John Deere Rd, Suite 308, Moline, IL 61265-6869 | |
| (309) 779-7900 | |
| (309) 779-7905 |
| Full Name | Vikram Agrawal |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 600 John Deere Rd, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821227414 | NPI | - | NPPES |
| 036123868 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036123868 (Illinois) | Primary |
| 208000000X | Pediatrics | MD-41434 (Iowa) | Secondary |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20040512000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Vikram Agrawal, MD 600 John Deere Rd, Suite 308, Moline, IL 61265-6869 Ph: (309) 779-7900 | Vikram Agrawal, MD 600 John Deere Rd, Suite 308, Moline, IL 61265-6869 Ph: (309) 779-7900 |
Dr. Haile Neptune, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 Avenue Of The Cities, Moline, IL 61265 Phone: 309-797-5437 Fax: 309-797-3140 |
Dr. Michael James Schott, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 106 19th Ave, Ste. 103, Moline, IL 61265 Phone: 309-779-7050 Fax: 309-779-7055 |
Sachin S Nunnewar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1106 4th Ave, Moline, IL 61265 Phone: 563-327-2000 Fax: 563-327-2045 |
Dr. Anders J Brodd, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 Avenue Of The Cities, Moline, IL 61265 Phone: 309-797-5437 Fax: 309-797-3140 |
David G Bunker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4376 7th St, Moline, IL 61265 Phone: 309-762-0777 Fax: 309-762-0077 |
Dr. Thomas Jerome Herr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1625 Avenue Of The Cities, Moline, IL 61265 Phone: 309-797-5437 Fax: 309-797-3140 |
Alan Howard Siegel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 515 Valley View Dr, Moline, IL 61265 Phone: 309-624-4945 |