Provider Demographics
NPI:1447671045
Name:MD EXECUTIVE SOLUTIONS
Entity type:Organization
Organization Name:MD EXECUTIVE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHEIRIDA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-446-6956
Mailing Address - Street 1:1393 E BROAD ST FL 2
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1584
Mailing Address - Country:US
Mailing Address - Phone:614-252-8005
Mailing Address - Fax:614-258-9667
Practice Address - Street 1:1393 EAST BROAD STREET 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205
Practice Address - Country:US
Practice Address - Phone:614-252-8005
Practice Address - Fax:614-258-9667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-27
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies