Individual
DR. TINA A AGBAOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 545-6969
(901) 545-6424
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.015230
OH
207RI0200X
Infectious Disease Physician
Primary
47524
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I115728
MEDICARE TN
TN
05
—
1525608
—
TN
Enumeration date
04/10/2009
Last updated
09/17/2025
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