Position doesn’t change but people change! MD and Manager positions are constant in all concerns that’s why we call the people in those positions with their post names and not by their own names!!
For your kind information, this gentleman may NOT possibly be a DOCTOR(Dr) ,..unless he has a PhD in Clinical Psychology. Only a Psychiatrist should be addressed as DOCTOR(Dr), because a Psychiatrist is basically an MBBS physician Doctor(Dr), with super speciality qualification in M.D.,(Clinical Psychiatry)