Individual
DR. RYAN JOHN WAKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 MAIN ST STE 104, WHEELING, WV 26003-2737
(304) 460-5123
(888) 276-3121
Mailing address
1005 WHITE WILLOW WAY, ATTN: RACHEL DETEC, MORGANTOWN, WV 26505-6119
(304) 280-7337
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036156879
IL
2084P0800X
Psychiatry Physician
21739
NH
2084P0800X
Psychiatry Physician
24727
WV
2084P0800X
Psychiatry Physician
303652
NY
2084P0800X
Psychiatry Physician
35.136307
OH
2084P0800X
Psychiatry Physician
41470
AL
2084P0800X
Psychiatry Physician
52407
SC
2084P0800X
Psychiatry Physician
53466
KY
2084P0800X
Psychiatry Physician
69641
CT
2084P0800X
Psychiatry Physician
84710
GA
2084P0800X
Psychiatry Physician
D0090198
MD
2084P0800X
Psychiatry Physician
Primary
DR.0064121
CO
2084P0800X
Psychiatry Physician
MD458987
PA
2084P0800X
Psychiatry Physician
ME143130
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064121
MEDICAL LICENSE
CO
01
—
0101276200
MEDICAL LICENSE
VA
01
—
036156879
MEDICAL LICENSE
IL
01
—
21739
MEDICAL LICENSE
NH
01
—
24727
MEDICAL LICENSE
WV
01
—
25MA11289500
MEDICAL LICENSE
NJ
01
—
290330
MEDICAL LICENSE
MA
01
—
303652
MEDICAL LICENSE
NY
01
—
338366
MEDICAL LICENSE
LA
01
—
35.136307
MEDICAL LICENSE
OH
01
—
41470
MEDICAL LICENSE
AL
01
—
52407
MEDICAL LICENSE
SC
01
—
53466
MEDICAL LICENSE
KY
01
—
66653
MEDICAL LICENSE
AZ
01
—
69641
MEDICAL LICENSE
CT
01
—
71258
MEDICAL LICENSE
MN
01
—
84710
MEDICAL LICENSE
GA
01
—
C1-0024502
MEDICAL LICENSE
DE
01
—
MD.61293790
MEDICAL LICENSE
WA
01
—
MD17998
MEDICAL LICENSE
RI
01
—
MD210001486
MEDICAL LICENSE
DC
01
—
MD458987
MEDICAL LICENSE
PA
01
—
ME143130
MEDICAL LICENSE
FL
01
—
T1594
MEDICAL LICENSE
TX
Enumeration date
05/05/2010
Last updated
09/17/2025
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