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

Individual provider Pediatrics Physician · NPI 1144617788

Sandy Marie Thakadiyil, MD is a Pediatrics Physician in Saint Louis, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2015
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

615 S New Ballas Rd
Saint Louis, MO 63141-8277
Phone: (314) 251-5860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 615 S New Ballas Rd, Saint Louis, MO 63141-8277 — (314) 251-5860

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 2018033141 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 036137325 (IL)

Record details

NPI number1144617788
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 21, 2015
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

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