Organization
OHIO EXECUTIVE PSYCHIATRY, LLC
Active
Other names
Ohio Sports Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA DEV VELLANKI DO (MANAGER)
(614) 673-3558
Entity
Organization
Contact information
Practice address
1241 MCKINLEY AVE, COLUMBUS, OH 43222-1114
(614) 673-3558
Mailing address
1241 MCKINLEY AVE, COLUMBUS, OH 43222-1114
(614) 673-3558
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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