Individual
ADHAM SHOUJAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(806) 543-9299
Mailing address
3715 69TH ST, LUBBOCK, TX 79413-6018
(806) 543-9299
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2024027488
MO
2085R0202X
Diagnostic Radiology Physician
Primary
21244
ND
2085R0202X
Diagnostic Radiology Physician
M-2487
GU
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
09/23/2025
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