Mimily Harsono
MD | Pediatric Neonatal-Perinatal Medicine | Female
Mimily Harsono, MD is a Memphis, Tennessee based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Mimily Harsono is
University Of Tennessee (division Of Neonatology), 853 Jefferson Avenue, Suite-201, Newborn Center, Memphis, Tennessee - 38103. She can be contacted on phone at
901-448-5950 and fax number 901-448-1691.
Mimily Harsono is a sole proprietor of her business.
NPI number (Unique professional ID) for Mimily Harsono is
1003137571 which was assigned by NPPES on 18 Jun, 2010 and it was last updated on 08 Oct, 2018.
Mimily Harsono license number is
50025 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Tennessee.
Mimily Harsono is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Mimily Harsono basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Mimily Harsono |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mimily Harsono address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | University Of Tennessee (division Of Neonatology), 853 Jefferson Avenue, Suite-201, Newborn Center
Memphis, TN, 38103
United States |
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| Phone Number : | 901-448-5950 |
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| Fax Number : | 901-448-1691 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003137571 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jun, 2010 |
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| Last Updated On : | 08 Oct, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mimily Harsono are as mentioned. Primary taxonomy code for Mimily Harsono, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 50025 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Mimily Harsono such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 197560001 | MEDICAID | AR | |
| 1003137571 | MEDICAID | MO | |
| 177423 | MEDICAID | AL | |
| 00179412A | MEDICAID | GA | |
| 02507295 | MEDICAID | MS | |
| 1003137571 | MEDICAID | MI | |
| 1532008 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | University Of Tennessee (division Of Neonatology), 853 Jefferson Ave, Suite-201, Newborn Center
Memphis, TN, 38103
United States |
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| Phone Number : | 901-448-5950 |
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| Fax Number : | 901-448-1691 |
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Business Location:
Patients can refer following map for directions to
Mimily Harsono practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.