Mimily Harsono
Neonatal-Perinatal Doctor
University Of Tennessee (division Of Neonatology) 853 Jefferson Avenue, Suite-201, Newborn Center
Memphis
, Tennessee 38103
Mimily Harsono
Neonatal-Perinatal Doctor
University Of Tennessee (division Of Neonatology) 853 Jefferson Avenue, Suite-201, Newborn Center
Memphis
, Tennessee 38103
(901) 448-1691
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About
Features
Specialties
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Mimily Harsono
- University Of Tennessee (division Of Neonatology) 853 Jefferson Ave, Suite-201, Newborn Center
- Memphis, TN
- Zip : 38103
- Fax : (901) 448-1691
- Phone : (901) 448-5950
Second Address
- Mimily Harsono
- University Of Tennessee (division Of Neonatology) 853 Jefferson Avenue, Suite-201, Newborn Center
- Memphis, TN
- Zip : 38103
- Fax : (901) 448-1691
- Phone : (901) 448-5950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | 50025 | TN |
National Provider Identifier
| NPI | 1003137571 |
|---|---|
| Provider Name | Mimily Harsono |
| First Address | Memphis, TN 38103 |
| Second Address | Memphis, TN 38103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2010 |
| Last Update Date | 08/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00179412A | (05) | GA |
| 02507295 | (05) | MS |
| 1003137571 | (05) | MI |
| 1003137571 | (05) | MO |
| 1532008 | (05) | TN |
| 177423 | (05) | AL |
| 197560001 | (05) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.