Healthcare Provider Details

I. General information

NPI: 1053226415
Provider Name (Legal Business Name): DR. SONIA QURESHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

464 CONGRESS AVE
NEW HAVEN CT
06519-1361
US

V. Phone/Fax

Practice location:
  • Phone: 203-785-4730
  • Fax:
Mailing address:
  • Phone: 737-388-7754
  • Fax: 203-785-6961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: