Morisetti, Phani Purushotham

Morisetti, Phani Purushotham is an individual health care provider with primary practice located at 1801 E March Ln Ste B265 , Stockton CA 95210-6655. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Morisetti, Phani Purushotham can be contacted via phone (209) 546-1868.

Contact Information

Primary practice address
1801 E March Ln Ste B265 Stockton CA 95210-6655
Phone: (209) 546-1868
Fax: (209) 461-6505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 302690 Louisiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 302690 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X C184332 California

Profile Details

NPI number 1053756924
LBN Legal business name Morisetti, Phani Purushotham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2013
Last updated Mar 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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