Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mimily Harsono, MD

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1003137571

Mimily Harsono, MD is a Neonatal-Perinatal Medicine Physician in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.

Licensed in
TN
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

877 Jefferson Ave
Memphis, TN 38103-2807
Phone: (901) 545-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 50025 (TN)

Record details

NPI number1003137571
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2010
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address1068 Cresthaven Rd Ste 300, Memphis, TN 38119-0809

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