Provider Demographics
NPI:1518282060
Name:ALLOJU, SHASHI M (MD)
Entity Type:Individual
Prefix:
First Name:SHASHI
Middle Name:M
Last Name:ALLOJU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6533 PRESTON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2697
Mailing Address - Country:US
Mailing Address - Phone:469-606-9686
Mailing Address - Fax:888-975-0230
Practice Address - Street 1:6533 PRESTON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2697
Practice Address - Country:US
Practice Address - Phone:469-606-9686
Practice Address - Fax:888-975-0230
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-28
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN8755207W00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX373390ZKBTMedicare PIN