Provider Demographics
NPI:1194782896
Name:UNSON, DENNIS SETZER (MD)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:SETZER
Last Name:UNSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 MOWRY AVE
Mailing Address - Street 2:STE 600C
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538
Mailing Address - Country:US
Mailing Address - Phone:510-792-4373
Mailing Address - Fax:510-792-3420
Practice Address - Street 1:2191 MOWRY AVE
Practice Address - Street 2:STE 600C
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538
Practice Address - Country:US
Practice Address - Phone:510-792-4373
Practice Address - Fax:510-792-3410
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA066252208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H20506Medicare UPIN