DR. WARDHA MOWLA DO
NPI 1073454179
Student in an Organized Health Care Education/Training Program in Rockford, IL

Active since April 02, 2026
1221 E STATE ST, ROCKFORD, IL 61104(815) 972-1037 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Wardha Mowla Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WARDHA MOWLA DO (NPI 1073454179) is an individual student in an organized health care education/training program in Rockford, Illinois and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1073454179
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. WARDHA MOWLACredential: DO
Location Address1221 E STATE STRockford, IL 61104-2231
Mailing Address9418 Odell AveBridgeview, IL 60455-2116 · (708) 737-3246
Sole ProprietorNo
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
NPI 1073454179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1221 E STATE ST, Rockford, IL 61104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Nurse Practitioner
1221 E STATE ST
ROCKFORD, IL 61104
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104
Nurse Practitioner (Family)
1221 E STATE ST
ROCKFORD, IL 61104
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104
Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wardha Mowla's NPI number?

The NPI number for Wardha Mowla is 1073454179. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Wardha Mowla located?

Wardha Mowla practices at 1221 E State St, Rockford, IL 61104. The listed phone number is (815) 972-1037.

What is Wardha Mowla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Wardha Mowla was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.