Dominique Pham, MD
Internal Medicine in West Roxbury, Massachusetts
1891776662- Practice location
- 1996 Centre St, West Roxbury, MA 02132-3329
- Phone
- 617-469-0470
- Fax
- —
- Last updated
- January 14, 2010
Dominique Pham is an Internal Medicine based in West Roxbury, MA. Dominique Pham practices in West Roxbury, MA and has the professional credentials of MD. The NPI Number for Dominique Pham is 1891776662 and holds a License No. 74589 (MA). The current practice location address for Dominique Pham is 1996 Centre St, West Roxbury, MA 02132-3329 and can be reached out via phone at 617-469-0470.
Provider Profile Details
- NPI Number
- 1891776662
- Provider Name
- Dominique Pham
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1996 Centre St, West Roxbury, MA 02132-3329
- Phone Number
- 617-469-0470
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 9, 2005
- Last Update Date
- January 14, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1996 Centre St
West Roxbury, MA 02132-3329 - City
- West Roxbury
- State
- Massachusetts
- Zip
- 02132-3329
- Phone Number
- 617-469-0470
Provider Business Mailing Address Details
- Address
- Po Box 9135
Att:sharon Silva
Brookline, MA 02446-9135 - City
- Brookline
- State
- MA
- Zip
- 02446-9135
- Phone Number
- 603-890-4404
License Information
- License Number (1)
- 74589
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 74589
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine, Gastroenterology · 207RG0100X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dominique Pham, MD?
The NPI number of Dominique Pham, MD is 1891776662. It was assigned on November 9, 2005 and is currently active in the NPPES registry.
What is the specialty of Dominique Pham, MD?
Dominique Pham, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 74589.
Where does Dominique Pham, MD practice?
The practice location is 1996 Centre St, West Roxbury, MA 02132-3329. The office can be reached at 617-469-0470 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891776662 directly on the NPPES registry website.