Provider Demographics
NPI:1760123988
Name:WORKU, MERON YOHANNES (MD)
Entity Type:Individual
Prefix:DR
First Name:MERON
Middle Name:YOHANNES
Last Name:WORKU
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 1:3132 HUNTERS CHASE DR APT 714
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-8051
Mailing Address - Country:US
Mailing Address - Phone:757-956-0440
Mailing Address - Fax:
Practice Address - Street 1:1 HURLEY PLZ OFC 10W
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-5902
Practice Address - Country:US
Practice Address - Phone:757-956-0440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-03
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty