Organization
AGELESS REGENERATIVE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARASI PRASAD DO (DIRECTOR OF BUSINESS OPERATION)
(714) 627-9266
Entity
Organization
Contact information
Practice address
204 23RD AVE N, NASHVILLE, TN 37203-1502
(615) 678-7784
Mailing address
204 23RD AVE N, NASHVILLE, TN 37203-1502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/26/2021
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