Individual
DR. PAVAN VENKATA DONTINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6400 E BROAD ST STE 400, COLUMBUS, OH 43213-2979
(614) 655-3345
(614) 317-4689
Mailing address
6449 HERB GARDEN CT, NEW ALBANY, OH 43054-8633
(740) 877-0478
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.099411
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069253
—
OH
Enumeration date
06/04/2008
Last updated
04/10/2023
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