Individual provider · NPI-1

Dr. Olugbenga Alaba Adebanjo, M.D

Internal Medicine · Memphis, TN

NPI number1144274200

StatusActive

Last updated in NPPESMay 30, 2021

Details

NPI: 1144274200
Entity type: Individual (NPI-1)
Name: Dr. Olugbenga Alaba Adebanjo
Credential: M.D
Sex: Male
Sole proprietor: No
Enumeration date: May 20, 2006
Certification date: May 30, 2021
Last updated: May 30, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	37598	TN	Yes
207P00000X	Emergency Medicine	E-12557	AR
207R00000X	Internal Medicine	E-12557	AR

Practice location

1719 Kirby Pkwy
Memphis, TN 38120-4367

Phone 901-685-1994 · Fax 901-685-1997

Mailing address

Po Box 172126
Memphis, TN 38187-2126

Phone 901-685-1994 · Fax 901-685-1997

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