SearchIndiana207V00000X

Maya Dominique, M.D

NPI 1942658497 · on the registry since 2016

Practice

Address
6091 Broadway
Merrillville, IN 46410
Phone
(219) 763-8112
Fax
(219) 884-2547
Organisation at this address
Northshore Health Centers, Inc.
Northshore Health Centers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Additional practice sites

  • 2001 W 86th St, Indianapolis, IN
  • 3500 Franciscan Way Ste 300, Michigan City, IN

Registry record

Primary taxonomy
207V00000X
207V00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana