AGELESS M.D., LLC – NPI #1902153992
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

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AGELESS M.D., LLC is an AHC clinic located in ARLINGTON, VA. NPPES has assigned the NPI number 1902153992 to AGELESS M.D., LLC on August 08, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 11 years ago on Oct 10, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGELESS M.D., LLC below.

NPI Profile for
AGELESS M.D., LLC

NPI Number

1902153992

Enumeration Date

Aug 08, 2012
(about 14 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

AGELESS M.D., LLC

Primary location

2221 N BUCHANAN ST
ARLINGTON, VA 22207-2526

Phone: (703) 688-2468 Fax: (703) 859-7689

Mailing address

Same as primary location

Organization Subpart

Authorized Official

SHAI SEYEDAN
PARTNER
Phone: (703) 688-2468

Updated

Oct 10, 2015

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
261Q00000X - Clinic/Center (Primary)	VA	0101232169
261QV0200X - Clinic/Center / VA	VA	0101232169
261QC1800X - Clinic/Center / Corporate Health	VA	0101232169

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.