MEDICARE: DAANISH UNWALLA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	A196641	CA

General Provider Information

NPI Number	:	1164001772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAANISH UNWALLA MD

Provider Business Mailing Address
First Line	:	200 W ARBOR DR # 5009
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-1911
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3020 CHILDRENS WAY # 5009
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4223
Country	:	US
Telephone Number	:	858-576-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2021
Last Update Date	:	07/21/2025

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