Organization
AGELESS MEDICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHRI RAO MD (PRESIDENT)
(937) 544-4020
Entity
Organization
Contact information
Practice address
11841 MASON MONTGOMERY RD, CINCINNATI, OH 45249-1748
(937) 544-4020
(937) 544-4009
Mailing address
11841 MASON MONTGOMERY RD, CINCINNATI, OH 45249-1748
(937) 544-4020
(937) 544-4009
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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