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Individual
KANWAL EJAZ
Active
Individual
KANWAL EJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208850
MA
207R00000X
Internal Medicine Physician
Primary
295692-1
NY
207R00000X
Internal Medicine Physician
DR.0053070
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05378529
—
NY
Enumeration date
05/21/2007
Last updated
10/01/2019
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