Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sunderam Kodman Shetty, MD, FACRO

Individual provider Specialist · NPI 1720061674

Dr. Sunderam Kodman Shetty, MD, FACRO is a Specialist in West Palm Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2005
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

901 45th St Kaplan Cancer Center St Marys Hospital
West Palm Beach, FL 33407-2413
Phone: (561) 881-2815
Fax: (561) 881-0951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME37893 (FL)

Record details

NPI number1720061674
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FACRO
Sole proprietorYes
NPI enumeratedNovember 23, 2005
Last updated in NPPESJune 28, 2010

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