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

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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