Provider Demographics
NPI:1154847887
Name:JOHN GIAN MD LLC
Entity Type:Organization
Organization Name:JOHN GIAN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-598-2438
Mailing Address - Street 1:1171 OVINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-6005
Mailing Address - Country:US
Mailing Address - Phone:347-598-2438
Mailing Address - Fax:
Practice Address - Street 1:510 UPPER CHESAPEAKE DR STE 312
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4328
Practice Address - Country:US
Practice Address - Phone:443-643-2236
Practice Address - Fax:443-643-1545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-15
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0083786207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty