Healthcare Provider Details

I. General information

NPI: 1568447357
Provider Name (Legal Business Name): HUMA SARAH QURESHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HUMA SARAH QURESHI RAZZAK M.D.

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 ROYALTY DR SUITE 220
POMONA CA
91767-3030
US

IV. Provider business mailing address

1902 ROYALTY DR STE 220
POMONA CA
91767-3056
US

V. Phone/Fax

Practice location:
  • Phone: 909-620-8180
  • Fax: 909-469-6741
Mailing address:
  • Phone: 909-620-8180
  • Fax: 909-469-6741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License NumberA55406
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME104816
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA55406
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC1-0027337
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: