MEDICARE: GARVIN JIAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35.153736	OH

General Provider Information

NPI Number	:	1932836855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARVIN JIAN MD

Provider Business Mailing Address
First Line	:	1413 PORTAGE ST NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-2288
Country	:	US
Telephone Number	:	330-499-7591
Fax Number	:

Provider Business Practice Location Address
First Line	:	1413 PORTAGE ST NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-2288
Country	:	US
Telephone Number	:	330-499-7591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2022
Last Update Date	:	03/10/2026

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