MIMILY HARSONO — Medicare Enrolled Provider (PRACTITIONER - PEDIATRIC MEDICINE, TN)
MIMILY HARSONO — Medicare Enrolled Provider (PRACTITIONER - PEDIATRIC MEDICINE, TN) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: MIMILY HARSONO; Type: Individual; NPI: 1003137571.
| Name | MIMILY HARSONO |
|---|---|
| Type | Individual |
| NPI | 1003137571 |
| Provider type | PRACTITIONER - PEDIATRIC MEDICINE |
| State | TN |
| Enrollment ID | I20130701000816 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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