Provider Demographics
NPI:1053601575
Name:WORKU, NOADIA (DO)
Entity type:Individual
Prefix:
First Name:NOADIA
Middle Name:
Last Name:WORKU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71657-0510
Mailing Address - Country:US
Mailing Address - Phone:870-224-4545
Mailing Address - Fax:866-809-4272
Practice Address - Street 1:1222 OLD WARREN RD STE C
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-5041
Practice Address - Country:US
Practice Address - Phone:870-224-4545
Practice Address - Fax:866-809-4272
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-93602081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine