MEDICARE: DR. ANDREW HILL MEBANE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	G37395	CA
2	2084P0800X	Psychiatry Physician	37971	AZ

General Provider Information

NPI Number	:	1194741371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW HILL MEBANE M.D.

Provider Business Mailing Address
First Line	:	7500 E MCCORMICK PKWY LOT 49
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-2913
Country	:	US
Telephone Number	:	602-266-8402
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 N CENTRAL AVE STE 1050
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1217
Country	:	US
Telephone Number	:	602-266-8402
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/23/2021

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