Provider Demographics
NPI:1558062273
Name:INEXUS HEALTH, INC.
Entity Type:Organization
Organization Name:INEXUS HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHENGGANG
Authorized Official - Middle Name:
Authorized Official - Last Name:DU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-937-1194
Mailing Address - Street 1:1201 SEVEN LOCKS RD STE 360
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20854-6901
Mailing Address - Country:US
Mailing Address - Phone:818-937-1194
Mailing Address - Fax:
Practice Address - Street 1:1201 SEVEN LOCKS RD STE 360
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20854-6901
Practice Address - Country:US
Practice Address - Phone:818-937-1194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty