Individual
DR. IMRAN SHUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
217 CHEROKEE ROSE LN, COVINGTON, LA 70433-7201
(858) 930-9119
(985) 875-7565
Mailing address
217 CHEROKEE ROSE LN, COVINGTON, LA 70433-7201
(985) 893-0911
(985) 875-7565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10398500
NJ
207R00000X
Internal Medicine Physician
309966
LA
207RN0300X
Nephrology Physician
Primary
309966
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
08/01/2025
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