MR. Shaji Joseph Ellimuttil, PA

NPI #1760150981 in Plano, Texas

Provider Information

NPI Number: 1760150981
Entity Type: Individual
Name: MR. Shaji Joseph Ellimuttil, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 1, 2021
Last Updated: Sep 1, 2021

Practice Location

Address: 1100 ALLIED DR
City: Plano
State: Texas
ZIP Code: 75093-5348
Phone: (972) 977-9301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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