Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicolas Maalouf

Individual provider General Practice Physician · NPI 1710619895

Nicolas Maalouf is an Internal Medicine in Las Vegas, Nevada. Qualified in 2022, 4 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
4
Licensed in
CA, NV
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

620 Shadow Ln
Las Vegas, NV 89106-4119
Phone: (702) 388-8436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A23770 (CA)
General Practice Physician Taxonomy 208D00000X · Licence SL1892 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence SL1892

Record details

NPI number1710619895
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 28, 2022
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address501 S Buena Vista St, Burbank, CA 91505-4809

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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