Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sandhya Vethachalam, MD

Individual provider Pediatrics Physician · NPI 1104234814

Sandhya Vethachalam, MD is a Pediatric Medicine in Springfield, Missouri. Graduated from Marymount University in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Trained at
Marymount University
Licensed in
MO
In the registry since
2014
Specialties on file
2
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

3231 S National Ave Ste 100
Springfield, MO 65807-7304
Phone: (417) 885-0810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2019009765 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104234814
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2014
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address3231 S National Ave Ste 100, Springfield, MO 65807-7304

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMARYMOUNT UNIVERSITY
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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