Healthcare Provider Details

I. General information

NPI: 1609020940
Provider Name (Legal Business Name): ANA C G XAVIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANA CAROLINA GALTAROSSA XAVIER MD

II. Dates (important events)

Enumeration Date: 11/13/2008
Last Update Date: 08/12/2020
Certification Date: 08/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 7TH AVE S # ACC512
BIRMINGHAM AL
35233-1711
US

IV. Provider business mailing address

1600 7TH AVE S # ACC512
BIRMINGHAM AL
35233-1711
US

V. Phone/Fax

Practice location:
  • Phone: 205-638-9285
  • Fax:
Mailing address:
  • Phone: 205-638-9285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD.33417
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberMD.33417
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: