MEDICARE: MD MEDICAL SOLUTIONS, INC

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	251T00000X	PACE Provider Organization

General Provider Information

NPI Number	:	1326438938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MD MEDICAL SOLUTIONS, INC

Provider Business Mailing Address
First Line	:	133 W MARKET ST
Second Line	:	SUITE 215
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-2801
Country	:	US
Telephone Number	:	317-227-7551
Fax Number	:	317-570-2737

Provider Business Practice Location Address
First Line	:	133 W MARKET ST
Second Line	:	SUITE 215
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-2801
Country	:	US
Telephone Number	:	317-227-7551
Fax Number	:	317-570-2737

Authorized Official
Title or Position	:	PRESIDENT / CEO
Name	:	LARRY HIGGINS
Credential	:
Telephone Number	:	317-227-7551

Provider Enumeration Date	:	02/03/2015
Last Update Date	:	02/03/2015

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