PHANI PURUSHOTHAM MORISETTI M.D.
Individual Provider (NPI-1)
Active
Internal Medicine, Nephrology
Provider Information
- NPI Number
1053756924- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1801 E MARCH LN STE B265, STOCKTON, CA, 952106655
- Phone
- (209) 546-1868
- Fax
- (209) 461-6505
Specialties & Taxonomies
Internal Medicine
License: LA #302690
Internal Medicine, Nephrology
License: LA #302690
Student in an Organized Health Care Education/Training Program
Internal Medicine, Nephrology
Primary License: CA #C184332