Provider Demographics
NPI:1679645782
Name:RABY, ANDREA (DO)
Entity Type:Individual
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First Name:ANDREA
Middle Name:
Last Name:RABY
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Gender:F
Credentials:DO
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Mailing Address - Street 1:8350 E RAINTREE DR
Mailing Address - Street 2:STE 130
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2692
Mailing Address - Country:US
Mailing Address - Phone:602-685-3846
Mailing Address - Fax:602-685-3808
Practice Address - Street 1:444 N 44TH ST
Practice Address - Street 2:#400
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-7624
Practice Address - Country:US
Practice Address - Phone:602-685-3846
Practice Address - Fax:602-685-3808
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2022-03-30
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Provider Licenses
StateLicense IDTaxonomies
AZ35082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ648925Medicaid
AZH56704Medicare UPIN
AZ648925Medicaid