Sunderam Kodman Shetty, M.D., F.A.C.R.O.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME37893 Issued in FL

Practice address

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

Phone

(561) 881-2815

Fax

(561) 881-0951

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radiation Oncology Specialists of the Palm Beaches, L.L.C.

  • Specialist
  • West Palm Beach, FL
  • NPI 1649284076
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1720061674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 45TH ST",
            "address_2": "KAPLAN CANCER CENTER, ST MARYS HOSPITAL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072413",
            "telephone_number": "561-881-2815",
            "fax_number": "561-881-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 45TH ST",
            "address_2": "KAPLAN CANCER CENTER, ST MARYS HOSPITAL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072413",
            "telephone_number": "561-881-2815",
            "fax_number": "561-881-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "SUNDERAM",
        "middle_name": "KODMAN",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.R.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME37893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061721100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah W. Sherman, PHD
• Monica Sherman
• Peter A Sherman, MD
• Patricia Ann Sherron, M.D.
• Reema Sheth
• Daniel Shields, DO
• Jennifer Shiflet, DDS
• Joyce Shing, LMT
• Joaneil Shirley
• Claudette Shirlon

• Specialist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.