Individual
RAJAN THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
(614) 722-3903
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35121111
OH
2086S0120X
Pediatric Surgery Physician
Primary
35121111
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124250
—
OH
01
—
H458220
CGS - MEDICARE
OH
Enumeration date
04/24/2007
Last updated
11/19/2024
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