Provider Demographics
NPI:1962672477
Name:GUNIA, SOMMER RACHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:SOMMER
Middle Name:RACHAEL
Last Name:GUNIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SOMMER
Other - Middle Name:RACHAEL
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9965 N 95TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4594
Mailing Address - Country:US
Mailing Address - Phone:623-629-8390
Mailing Address - Fax:
Practice Address - Street 1:9965 N 95TH ST STE 105
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4594
Practice Address - Country:US
Practice Address - Phone:480-629-8390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58-002431208600000X
AZ006126208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ825730Medicaid