Provider Demographics
NPI:1225359243
Name:DRAY, ELIZABETH VAN HUFFEL (MD)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:VAN HUFFEL
Last Name:DRAY
Suffix:
Gender:
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 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5698
Mailing Address - Fax:
Practice Address - Street 1:50 HOSPITAL DR STE 2A
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5244
Practice Address - Country:US
Practice Address - Phone:828-654-6015
Practice Address - Fax:828-687-6058
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN70075208800000X
SC525772088F0040X, 208800000X
NC2024-01300208800000X
IL125-058618208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No2088F0040XAllopathic & Osteopathic PhysiciansUrologyUrogynecology and Reconstructive Pelvic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC525774Medicaid