Mimily Harsono

Pediatric Medicine

Memphis, TN 38103

Female - 27 Yrs Experience - English

Location

930 Madison Ave

Memphis, TN 38103

Phone number

(000) 0000-000

Summary

Mimily Harsono is a Pediatric Medicine located at Memphis, TN 38103 and is affiliated with Hospitals. She received her medical degree from Other and has been in practice for more than 27 years.

Professional Identification

  1. NPI#: 1003137571
  2. PAC ID: 5799925467
  3. Clinician Enrollment ID: I20130701000816
  4. Gender: Female
  5. Enumeration: June 18 2010
  6. Last Updated: October 8 2018

Medical Credentials

  1. Credential: Undefined
  2. Medical school: Other
  3. Graduation year: 1995
  4. Taxonomy: 2080N0001X
  5. Specialty: Pediatric Medicine
  6. All specialties: Pediatric Medicine

Medical Practice

  1. Organization: Ut Medical Group, Inc.
  2. Group PAC ID: 3173435369
  3. Number of Group Members: 95

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 930 Madison Ave, Memphis TN 38103
  2. 877 Jefferson Ave, Memphis TN 38103 (901) 866-8053
  3. 853 Jefferson Ave, Memphis TN 38103 (901) 448-5950

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