Provider Demographics
NPI:1205016292
Name:SUNSERI, RAHNEA LEE (MD)
Entity Type:Individual
Prefix:
First Name:RAHNEA
Middle Name:LEE
Last Name:SUNSERI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:RAHNEA
Other - Middle Name:LEE SUNSERI
Other - Last Name:VAIARELLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5877
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-0877
Mailing Address - Country:US
Mailing Address - Phone:916-520-7478
Mailing Address - Fax:
Practice Address - Street 1:3200 5TH AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2705
Practice Address - Country:US
Practice Address - Phone:916-520-7478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG35512207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG35512OtherSTATE LICENSE