He, along with his family, later migrated to the US where he pursued Computer Science at the University of Texas. Balwani, however, dropped out in 1987. He would go on to get a bachelor's degree in 1997.
He worked at Lotus Software and Microsoft briefly before joining a start up, CommerceBid.com, as president in 1999. In 2000, he exited the company and sold his shares which were valued at $40 million, mainly on the back of the dot-com boom.
He then went to the University of California and received a Master of Business Administration (MBA) degree in 2003.
According to the New York Times (NYT), there are no official records showing when he changed his name from Ramesh to Sunny. He divorced the Japanese artist Keiko Fujimoto in 2002, his name was still Ramesh. However, in 2012, when he was writing patents at Theranos, his name was Sunny.