Individual
DR. OLUGBENGA ALABA ADEBANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1719 KIRBY PKWY, MEMPHIS, TN 38120-4367
(901) 685-1994
(901) 685-1997
Mailing address
PO BOX 172126, MEMPHIS, TN 38187-2126
(901) 685-1994
(901) 685-1997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-12557
AR
207R00000X
Internal Medicine Physician
Primary
37598
TN
207R00000X
Internal Medicine Physician
E-12557
AR
Other
Enumeration date
05/20/2006
Last updated
05/30/2021
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