Provider Demographics
NPI:1194741371
Name:MEBANE, ANDREW HILL (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HILL
Last Name:MEBANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 E MCCORMICK PKWY LOT 49
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-2913
Mailing Address - Country:US
Mailing Address - Phone:602-266-8402
Mailing Address - Fax:
Practice Address - Street 1:2700 N CENTRAL AVE STE 1050
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1217
Practice Address - Country:US
Practice Address - Phone:602-266-8402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG373952084P0800X
AZ379712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry