AGELESS MEDICA LLC NPI 1558937730

NPI Information

  • NPI: 1558937730
  • Provider Name: AGELESS MEDICA LLC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Address: 11841 MASON MONTGOMERY RD
    CINCINNATI, OH
    ZIP 45249
  • Phone: (937) 544-4020

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NPI Details

AGELESS MEDICA LLC is an adult medicine family medicine in Cincinnati, OH. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. AGELESS MEDICA LLC NPI is 1558937730. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11841 MASON MONTGOMERY RD
CINCINNATI, OH
ZIP 45249-748
Phone: (937) 544-4020
Fax: (937) 544-4009

The provider's authorized official is Shri Rao .
The authorized official title is President and has the following contact phone number (937) 544-4020.

The enumeration date for this NPI number is 5/28/2021 and was last updated on 5/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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