Individual
DR. RAYAN ELIZABETH IHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 720-7305
(304) 720-7310
Mailing address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 388-2303
(304) 388-2390
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
24914
WV
207RP1001X
Pulmonary Disease Physician
Primary
24914
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810023969
—
WV
01
—
42860
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
05/22/2007
Last updated
06/08/2020
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