Individual provider · Type 1 NPI

Mimily Harsono, MD

Neonatal-Perinatal Medicine Physician · Memphis, TN

NPI number 1003137571 Active

Practice location

877 Jefferson Ave
Memphis, TN 38103-2807

Call (901) 545-7100 Map

Mailing address

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809

Specialties and licenses

TaxonomyCodeLicense
Neonatal-Perinatal Medicine Physician Primary 2080N0001X50025 (TN)

Neonatal-Perinatal Medicine Physician: A pediatrician who 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.

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About NPI 1003137571

Mimily Harsono, MD's National Provider Identifier is 1003137571, issued on Jun 18, 2010. The primary taxonomy on file is Neonatal-Perinatal Medicine Physician (2080N0001X), and the practice location is in Memphis, TN. The record was last updated on Feb 25, 2025.