World Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MN43201 Issued in MN

Legal business name

WORLD PEDIATRICS

Practice address

3470 Washington Dr
Suite 201
Eagan, MN 55122-1355

Phone

(651) 454-7371

Fax

(651) 454-9076

NPI assigned

May 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Walid Maalouli, M.D.

Title

President

Phone

(651) 454-7371

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063613750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 WASHINGTON DR",
            "address_2": "SUITE 201",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221355",
            "telephone_number": "651-454-7371",
            "fax_number": "651-454-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 WASHINGTON DR",
            "address_2": "SUITE 201",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221355",
            "telephone_number": "651-454-7371",
            "fax_number": "651-454-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORLD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAALOULI",
        "authorized_official_first_name": "WALID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-454-7371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "MN43201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Eagan, MN
• Providers in Eagan, MN by specialty
• Pediatrics Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.