Individual
PHANI PURUSHOTHAM MORISETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 E MARCH LN STE B265, STOCKTON, CA 95210-6655
(209) 546-1868
(209) 461-6505
Mailing address
1801 E MARCH LN STE B265, STOCKTON, CA 95210-6655
(209) 546-1868
(209) 461-6505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
302690
LA
207RN0300X
Nephrology Physician
302690
LA
207RN0300X
Nephrology Physician
Primary
C184332
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2013
Last updated
03/05/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us