Provider Demographics
NPI:1609083054
Name:ZOOBY, ADHAM
Entity Type:Individual
Prefix:MR
First Name:ADHAM
Middle Name:
Last Name:ZOOBY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6349 PURPLE HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1539
Mailing Address - Country:US
Mailing Address - Phone:408-799-6103
Mailing Address - Fax:
Practice Address - Street 1:6349 PURPLE HILLS DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1539
Practice Address - Country:US
Practice Address - Phone:408-799-6103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARHF 754852471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography