Anthonia Adeniji, MD, MBS

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI 1003660002 · NPPES record last updated Jul 31, 2026

Key facts

NPI
1003660002
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
920 Madison Ave
Memphis, TN 38103-3438
Phone
(901) 448-2400
NPI assigned
Apr 16, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

920 Madison Ave
Memphis, TN 38103-3438

Mailing address

920 Madison Ave
Memphis, TN 38103-3438

Other providers in Memphis, TN

All providers in Memphis, TN · Student in an Organized Health Care Education/Training Program in Tennessee

Sources for this page

Verify at the official NPI Registry.