Healthcare Provider Details

I. General information

NPI: 1104751080
Provider Name (Legal Business Name): RYAN ADELL MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NORTH VINEYARD BLVD STE A325 BOX 543
HONOLULU HI
96817
US

IV. Provider business mailing address

200 NORTH VINEYARD BLVD SUITE A325 UNIT 543
HONOLULU HI
96817
US

V. Phone/Fax

Practice location:
  • Phone: 440-289-8981
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: RYAN S ADELL
Title or Position: OWNER
Credential: MD
Phone: 440-289-8981