Healthcare Provider Details

I. General information

NPI: 1568441756
Provider Name (Legal Business Name): JOSEPH A SANTIESTEBAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5426 MIFFLIN RD
PITTSBURGH PA
15207-2350
US

IV. Provider business mailing address

5426 MIFFLIN RD
PITTSBURGH PA
15207-2350
US

V. Phone/Fax

Practice location:
  • Phone: 412-462-1800
  • Fax: 412-462-5006
Mailing address:
  • Phone: 412-462-1800
  • Fax: 412-462-5006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD039877L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: