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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHAJI JOSEPH ELLIMUTTIL, PA

Active

MR. SHAJI JOSEPH ELLIMUTTIL, PA is a Physician Assistant healthcare provider located in PLANO, Texas. NPI 1760150981 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PLANO, TX

Registration Details

NPI Number
1760150981
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2021 (4.9544383375303 yrs)
Last Updated
Sep 1, 2021
License
PA14664 (TX)

Practice Information

Address
1100 ALLIED DR
PLANO, TX, 750935348
Browse TX providers · Browse ZIP 75093
Phone
9729779301
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PLANO, TX

Name Credential NPI
SCOTT LAYTON PA 1215933403
MR. TODD JAY BRIGGS PA-C 1396742607
STEPHEN M WALKER OPA-C 1730172875
DIANA REIMANN PA-C 1508849688
SUSANNE T JOHNSON PAC 1376503623
DEBRA LUE RUSHING PA 1114988342
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.