Ageless M.D., LLC

Ageless M.D., LLC is a healthcare organization registered as Clinic/Center in Arlington, VA, holding Type 2 (organization) NPI 1902153992 since 2012. The authorized official on file is Shai Seyedan, Partner.

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NPI	1902153992
Entity type	Organization (Type 2)
Legal business name	Ageless M.D., LLC
Practice address	2221 N BUCHANAN ST, Arlington, VA, 22207
Phone	7036882468
Fax	7038597689
Enumeration date	2012-08-08
Last updated in NPPES	2015-10-10

Authorized official

Name	Shai Seyedan
Title	Partner
Phone	7036882468

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QC1800X	Corporate Health Clinic/Center	Secondary	0101232169	VA
261QV0200X	VA Clinic/Center	Secondary	0101232169	VA
261Q00000X	Clinic/Center	Primary	0101232169	VA

Copy-ready billing details

Provider: Ageless M.D., LLC
NPI: 1902153992
Taxonomy: 261Q00000X (Clinic/Center)
Address: 2221 N BUCHANAN ST, Arlington, VA, 22207

Providers at this address

NPI	Name	Type	Specialty	Location
1164482980	Derron Simon	Individual	Surgery Physician	Arlington, VA
1194939033	Rajesh Puri	Individual	General Practice Physician	Arlington, VA

Verify this record

Cross-check NPI 1902153992 against the authoritative CMS record: view Ageless M.D., LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Ageless M.D., LLC located?

The practice location on file with NPPES is in Arlington, VA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-10-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-10-10.