Individual provider · Type 1 NPI

Emmanuel Idoko Agaba

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

NPI number 1366396277 Active

Practice location

920 Madison Ave Ste 447
Memphis, TN 38103-3438

Call (901) 448-3714 Map

Mailing address

618 Ivy League Ln
Rockville, MD 20850-1876

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366396277

Emmanuel Idoko Agaba's National Provider Identifier is 1366396277, issued on Feb 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Feb 26, 2026.