Thakadiyil, Sandy Marie

Thakadiyil, Sandy Marie is an sole proprietor health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8277. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Thakadiyil, Sandy Marie can be contacted via phone (314) 251-5860.

Contact Information

Primary practice address
615 S New Ballas Rd Saint Louis MO 63141-8277
Phone: (314) 251-5860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036137325 Illinois
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2018033141 Missouri

Profile Details

NPI number 1144617788
LBN Legal business name Thakadiyil, Sandy Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2015
Last updated Sep 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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