Individual provider · Type 1 NPI

Sunderam Kodman Shetty, MD, F.A.C.R.O.

Specialist · West Palm Beach, FL

NPI number 1720061674 Active

Practice location

901 45th St, Kaplan Cancer Center, St Marys Hospital
West Palm Beach, FL 33407-2413

Call (561) 881-2815 Map

Fax (561) 881-0951

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME37893 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1720061674

Sunderam Kodman Shetty, MD, F.A.C.R.O.'s National Provider Identifier is 1720061674, issued on Nov 23, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Palm Beach, FL. The record was last updated on Jun 28, 2010.