Provider Demographics
NPI:1124654058
Name:SAN ESTEBAN, HANA (MD)
Entity type:Individual
Prefix:
First Name:HANA
Middle Name:
Last Name:SAN ESTEBAN
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 1:391 SERPENTINE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-3081
Mailing Address - Country:US
Mailing Address - Phone:864-560-7517
Mailing Address - Fax:
Practice Address - Street 1:391 SERPENTINE DR STE 400
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3081
Practice Address - Country:US
Practice Address - Phone:864-560-7517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC919832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry