Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | S4714 | TX |
NPI | 1407273659 |
---|---|
Provider Name | Les Mohan Alloju |
First Address | Frisco, TX 75035-0520 |
Second Address | Frisco, TX 75035-0520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2014 |
Last Update Date | 21/04/2020 |