Provider Demographics
NPI:1992747240
Name:GARABIS, FRANCISCO A IV (MD)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:A
Last Name:GARABIS
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2655 BERWYN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3207
Mailing Address - Country:US
Mailing Address - Phone:614-722-7498
Mailing Address - Fax:614-461-7136
Practice Address - Street 1:2655 BERWYN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3207
Practice Address - Country:US
Practice Address - Phone:614-722-7498
Practice Address - Fax:614-461-7136
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.080791207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2411483Medicaid
OHGA4085952Medicare ID - Type UnspecifiedAHN MEDICARE NUMBER
OH2411483Medicaid
OHGA4085954Medicare ID - Type UnspecifiedGRANT MEDICAL CENTER #