DR. WALID MAALOULI M.D. NPI 1912079609

NPI Information

  • NPI: 1912079609
  • Provider Name: DR. WALID MAALOULI, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2450 RIVERSIDE AVE # AO-301
    MINNEAPOLIS, MN
    ZIP 55454
  • Phone: (612) 626-5451

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NPI Details

DR. Walid Maalouli, M.D. is an adolescent medicine pediatrics in Minneapolis, MN with 35 years of experience. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Walid Maalouli, M.D. NPI is 1912079609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2450 RIVERSIDE AVE # AO-301
MINNEAPOLIS, MN
ZIP 55454-450
Phone: (612) 626-5451
Fax: (612) 626-1144

The NPI 1912079609 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 4/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine43201MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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