Provider Demographics
NPI:1265676563
Name:XAVIER, NEENA AGARWAL (MD)
Entity type:Individual
Prefix:
First Name:NEENA
Middle Name:AGARWAL
Last Name:XAVIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 S. EUCLID AVE., CB 8127
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-3500
Mailing Address - Fax:314-362-7641
Practice Address - Street 1:833 ST. VINCENT'S DRIVE
Practice Address - Street 2:SUITE 300 POB III
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1606
Practice Address - Country:US
Practice Address - Phone:205-939-4512
Practice Address - Fax:205-939-4519
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program