MEDICARE: SATYASAGAR MORISETTY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	21439	WV
2	207RP1001X	Pulmonary Disease Physician	35062048M	OH
3	207RP1001X	Pulmonary Disease Physician	186554-1	NY
4	207RP1001X	Pulmonary Disease Physician	55696	NJ
5	207RP1001X	Pulmonary Disease Physician	MD421673	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00121410	OTHER	OH	RR MEDICARE
5	P00437973	OTHER	WV	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699771527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SATYASAGAR MORISETTY MD

Provider Business Mailing Address
First Line	:	2100 MACK BLVD FL 4
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18103-5622
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 S CEDAR CREST BLVD STE 205
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18103-6271
Country	:	US
Telephone Number	:	610-402-9116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	07/11/2025

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Directions to “ SATYASAGAR MORISETTY MD” Practice Location

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