Healthcare Provider Details

I. General information

NPI: 1588276521
Provider Name (Legal Business Name): SHARIKA RAJAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDRENS DR
COLUMBUS OH
43205-2639
US

IV. Provider business mailing address

700 CHILDRENS DR # ED3025C2
COLUMBUS OH
43205-2639
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-5315
  • Fax: 614-355-1597
Mailing address:
  • Phone: 614-722-5315
  • Fax: 614-355-1597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZN0500X
TaxonomyNeuropathology Physician
License Number35-153777
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number35.153777
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: