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Phani Purushotham Morisetti

Internist Nephrologist

1501 Kings Hwy
Shreveport , Louisiana 71103-4228

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Phani Purushotham Morisetti

Internist Nephrologist

1501 Kings Hwy
Shreveport , Louisiana 71103-4228

Write a Review Save Call

Phani Purushotham Morisetti

Internist Nephrologist

1501 Kings Hwy
Shreveport , Louisiana 71103-4228

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Nephrologist

Languages spoken

  • English

Location

1501 Kings Hwy Shreveport , Louisiana 71103-4228

First Address

  • Phani Purushotham Morisetti
  • 1501 Kings Hwy
  • Shreveport, LA
  • Zip : 71103-4228
  • Phone :

Second Address

  • Phani Purushotham Morisetti
  • 1501 Kings Hwy
  • Shreveport, LA
  • Zip : 71103-4228
  • Fax : (318) 675-5913
  • Phone : (318) 675-7402

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FAQs


Where did Phani Purushotham Morisetti attend graduate school?

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Where did Phani Purushotham Morisetti do his residency?

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Where did Phani Purushotham Morisetti do his fellowship?

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Is Phani Purushotham Morisetti board certified?

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What type of doctor is Phani Purushotham Morisetti

Nephrologist

In what state does Phani Purushotham Morisetti practice in?

Louisiana

Where is Phani Purushotham Morisetti ’s practice located?

1501 Kings Hwy , Shreveport, Louisiana, 71103-4228

What is Phani Purushotham Morisetti ’s gender?

Male

Is Phani Purushotham Morisetti a sole practitioner?

No

Is Phani Purushotham Morisetti accepting new patients?

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What languages does Phani Purushotham Morisetti speak?

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Does Phani Purushotham Morisetti accept insurance?

Yes, Phani Purushotham Morisetti accepts insurance

Does Phani Purushotham Morisetti offers telemedicine?

Phani Purushotham Morisetti has not indicated if he offers telemedicine

What is Phani Purushotham Morisetti ’s professional license number?

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What is Phani Purushotham Morisetti ’s NPI number?

1053756924

Does Phani Purushotham Morisetti have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist 302690 LA
N 111NI0900X Internist 302690 LA
Y 207RN0300X Nephrologist 302690 LA

National Provider Identifier

NPI 1053756924
Provider Name Phani Purushotham Morisetti
First Address Shreveport, LA 71103-4228
Second Address Shreveport, LA 71103-4228
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 06/05/2013
Last Update Date 04/09/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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