Individual
JOHN GIANARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5209
(317) 274-0267
Mailing address
2830 W GRANDE BLVD APT 11303, TYLER, TX 75703-3581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10085267
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11023846A
IN
Other
Enumeration date
06/07/2023
Last updated
06/24/2024
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