Provider Demographics
NPI:1124097225
Name:XAVIER, ANDREW RATHNASAMY (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:RATHNASAMY
Last Name:XAVIER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:973 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-7636
Mailing Address - Country:US
Mailing Address - Phone:408-871-3200
Mailing Address - Fax:
Practice Address - Street 1:2495 HOSPITAL DR STE 450
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4171
Practice Address - Country:US
Practice Address - Phone:408-871-3400
Practice Address - Fax:650-643-0026
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010888512085N0700X, 207T00000X, 2084N0400X, 2084V0102X, 2084N0400X
CAC1699662084V0102X
FLME933362085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00293074OtherRAILROAD
I34672Medicare UPIN
P00293074OtherRAILROAD
MI0Q26462Medicare PIN