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Mr. Abdelkader Mallouk, MD, OD

Family Medicine Physician in Horseheads, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407949621

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Registry record

Entity type Individual (Type 1)
Name Mr. Abdelkader Mallouk
Credential MD, OD
Sex Male
Practice address 100 John Roemmelt Dr Ste 302, Horseheads, NY, 14845
Phone (607) 873-1810
Fax (607) 562-3157
Enumeration date Oct 2, 2006
Last updated in NPPES Apr 11, 2022

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License OPC3141 (FL) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License T005983 (NY) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License OE8142 (PA) Secondary
207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 277295 (NY) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 277295 (NY) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
01916898 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Abdelkader Mallouk practice?
The practice location on file with NPPES is in Horseheads, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Abdelkader Mallouk?
The National Provider Identifier (NPI) for Abdelkader Mallouk is 1407949621, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-11.