Individual
RYAN WADE
Active
Individual
RYAN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
66461
CT
2084P0800X
Psychiatry Physician
94706
GA
2084P0800X
Psychiatry Physician
V5850
TX
2084P0802X
Addiction Psychiatry Physician
66461
CT
2084P0802X
Addiction Psychiatry Physician
94706
GA
2084P0802X
Addiction Psychiatry Physician
V5850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004082260
—
CT
05
—
008001325
—
CT
05
—
008022622
—
CT
05
—
008056033
—
CT
05
—
008096694
—
CT
Enumeration date
03/29/2016
Last updated
03/05/2025
Update your record
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