National Provider Identifier
Abdelkader Mallouk, MD, OD
Abdelkader Mallouk, MD, OD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Horseheads, NY and a listed phone number of (607) 873-1810.
Profile Overview
- NPI
- 1407949621
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- October 02, 2006
- Last Updated
- April 11, 2022
Practice Location
- 100 John Roemmelt Dr Ste 302
- Horseheads, NY 14845-8304
Phone: (607) 873-1810
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Family Medicine Physician (207Q00000X)
- Addiction Medicine (Family Medicine) Physician (207QA0401X)
- Optometrist (152W00000X)
Full Record
- NPI
- 1407949621
- Entity Type
- Individual
- Last Name
- Mallouk
- First Name
- Abdelkader
- Name Prefix
- Mr.
- Credential
- MD, OD
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 100 John Roemmelt Dr Ste 302
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-8304
- Practice Country
- US
- Practice Phone
- (607) 873-1810
- Practice Fax
- (607) 562-3157
- Enumeration Date
- October 02, 2006
- Last Updated
- April 11, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Addiction Medicine (Family Medicine) Physician (207QA0401X), Optometrist (152W00000X)
- Other Identifiers
- 01916898 (NY)