Dr. Dominique Dempah, M.D.

Surgery in Salem, VA. Individual provider (NPI-1).

NPI number1073763751

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1073763751
Entity type: Individual (NPI-1)
Name: Dr. Dominique Dempah
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Sep 30, 2008
Last updated: Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - GENERAL SURGERY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208600000X	Surgery	0101262786	VA	Yes
208600000X	Surgery	4301090511	MI

Practice location

1802 Braeburn Dr
Salem, VA 24153-7357

Phone 540-772-3620 · Fax 540-725-5016

Mailing address

1802 Braeburn Dr
Salem, VA 24153-7357

Phone 540-772-3620 · Fax 540-725-5016

Other practice locations

22151 Moross Rd
Pb1 Suite 332
Detroit, MI 48236-2167

Phone 313-343-7849

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery Physician providers in Salem, VA

All 21 Surgery Physician providers in Salem · All 1,922 providers in Salem

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