Provider Demographics
NPI:1639157118
Name:WORKNEH, MEKLIT (MD)
Entity Type:Individual
Prefix:DR
First Name:MEKLIT
Middle Name:
Last Name:WORKNEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7705 BELLE POINT DR
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3300
Mailing Address - Country:US
Mailing Address - Phone:301-220-1371
Mailing Address - Fax:301-220-1372
Practice Address - Street 1:7705 BELLE POINT DR
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3300
Practice Address - Country:US
Practice Address - Phone:301-220-1371
Practice Address - Fax:301-220-1372
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062116207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDI23494Medicare UPIN
MD491893Medicare UPIN