Provider Demographics
NPI:1487674420
Name:VORHIS, ELIZABETH BRAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:BRAY
Last Name:VORHIS
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:PO BOX 1987
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-1987
Mailing Address - Country:US
Mailing Address - Phone:877-685-2164
Mailing Address - Fax:317-663-6054
Practice Address - Street 1:534 BILTMORE AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4612
Practice Address - Country:US
Practice Address - Phone:828-213-0594
Practice Address - Fax:828-213-0590
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME834532085R0202X
NC2014022032085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00345078OtherRAIL ROAD MEDICARE
FL239216OtherAVMED
FL270855OtherAVMED
FL276839900Medicaid
FLP00368377OtherRAIL ROAD MEDICARE
FL76074OtherBLUE CROSS BLUE SHIELD
FL239216OtherAVMED
FLU7915ZMedicare PIN
FLU7915YMedicare PIN
FL270855OtherAVMED
FLP00345078OtherRAIL ROAD MEDICARE
FL276839900Medicaid