Ageless Medica Llc | |
11841 Mason Montgomery Rd Cincinnati OH 45249-1748 | |
(937) 544-4020 | |
(937) 544-4009 |
Full Name | Ageless Medica Llc |
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Speciality | Family Medicine |
Location | 11841 Mason Montgomery Rd, Cincinnati, Ohio |
Authorized Official Name and Position | Shri Rao (PRESIDENT) |
Authorized Official Contact | 9375444020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ageless Medica Llc 11841 Mason Montgomery Rd Cincinnati OH 45249-1748 Ph: (937) 544-4020 | Ageless Medica Llc 11841 Mason Montgomery Rd Cincinnati OH 45249-1748 Ph: (937) 544-4020 |
NPI Number | 1558937730 |
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Provider Enumeration Date | 05/28/2021 |
Last Update Date | 05/28/2021 |
Medicare PECOS PAC ID | 8729481866 |
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Medicare Enrollment ID | O20230706001193 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558937730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Shri K Rao |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124130349 PECOS PAC ID: 4385604388 Enrollment ID: I20150504001864 |
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