Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phani Purushotham Morisetti, MD

Individual provider Internal Medicine Physician · NPI 1053756924

Phani Purushotham Morisetti, MD is a Nephrology in Stockton, California. Qualified in 2014, 12 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Louisiana.

Years since qualifying
12
Licensed in
CA, LA
In the registry since
2013
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1801 E March Ln Ste B265
Stockton, CA 95210-6655
Phone: (209) 546-1868
Fax: (209) 461-6505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 Kings Hwy, Shreveport, LA 71103-4228 — (318) 675-7402

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence C184332 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 302690 (LA)
Nephrology Physician Taxonomy 207RN0300X · Licence 302690 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053756924
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2013
Last updated in NPPESMarch 5, 2023
Certification dateMarch 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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