Individual
JESUS H DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1481 W 10TH ST, C7173, INDIANAPOLIS, IN 46202-2803
(317) 274-7453
Mailing address
PO BOX 44994, INDIANAPOLIS, IN 46244-0994
(317) 274-4402
(317) 274-5168
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01034356
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100260790
—
IN
Enumeration date
05/01/2006
Last updated
01/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us