Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Pham, MD

Individual provider Internal Medicine Physician · NPI 1891776662

Dominique Pham, MD is an Internal Medicine Physician in West Roxbury, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1996 Centre St
West Roxbury, MA 02132-3329
Phone: (617) 469-0470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 74589 (MA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 74589 (MA)

Record details

NPI number1891776662
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 9, 2005
Last updated in NPPESJanuary 14, 2010
Mailing addressPo Box 9135, Att:Sharon Silva, Brookline, MA 02446-9135

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