Individual
PAVITHRA KANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3555 OLENTANGY RIVER RD STE 1080, COLUMBUS, OH 43214-3984
(614) 865-6401
(614) 865-3259
Mailing address
3555 OLENTANGY RIVER RD STE 1080, COLUMBUS, OH 43214-3984
(614) 865-6401
(614) 865-3259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.018302
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
03/20/2023
Last updated
06/04/2026
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