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Dr. Sunderam Kodman Shetty, MD,FACRO
Specialist in West Palm Beach, Florida
NPI 1720061674

Sunderam Kodman Shetty is a Specialist based in West Palm Beach, FL. Sunderam Kodman Shetty practices in West Palm Beach, FL and has the professional credentials of MD,FACRO. The NPI Number for Sunderam Kodman Shetty is 1720061674 and holds a License No. ME37893 (Florida).

The current practice location address for Sunderam Kodman Shetty is 901 45Th St, West Palm Beach, FL and can be reached out via phone at 561-881-2815 and via fax at 561-881-0951. You can also correspond with Sunderam Kodman Shetty through the mailing address at 901 45TH ST, WEST PALM BEACH, FL - 33407-2413 (mailing address contact number: 561-881-2815).

Location: 901 45Th St, West Palm Beach, FL, 33407-2413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720061674
Provider Name
Sunderam Kodman Shetty
Credential
MD,FACRO
Provider Entity Type
Individual
Gender
Male
Address
901 45Th St, West Palm Beach, FL, 33407-2413
Phone Number
561-881-2815
Fax Number
561-881-0951
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
061721100 05 FL
institution
Provider Business Practice Location Address Details
Address
901 45Th St
City
West Palm Beach
State
Florida
Zip
33407-2413
Phone Number
561-881-2815
Fax Number
561-881-0951
person
Provider Business Mailing Address Details
Address
901 45Th St
City
West Palm Beach
State
Florida
Zip
33407-2413
Phone Number
561-881-2815
Fax Number
561-881-0951
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME37893 (Florida)
Definition
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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