Individual
DR. SUCHITH KAVRADY SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4112 W 15TH ST STE 203, PLANO, TX 75093-5874
(972) 612-0388
(972) 612-0389
Mailing address
4112 W 15TH ST STE 203, PLANO, TX 75093-5874
(972) 612-0388
(972) 612-0389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
CSP.0048399
CT
207RC0000X
Cardiovascular Disease Physician
Primary
V8766
TX
208M00000X
Hospitalist Physician
MD-44530
IA
Other
Enumeration date
07/15/2010
Last updated
07/21/2025
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