Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kanwal Ejaz, MD

Individual provider Internal Medicine Physician · NPI 1396954178

Kanwal Ejaz, MD is an Internal Medicine in Ithaca, New York. Qualified in 1994, 32 years ago. Practices with Cayuga Medical Associates PC, a 277-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, Massachusetts and New York.

Years since qualifying
32
Licensed in
CO, MA, NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

905 Hanshaw Rd Ste C
Ithaca, NY 14850-1549
Phone: (607) 277-2170
Fax: (607) 277-2329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Trumansburg Rd Ste R, Ithaca, NY 14850-1397 — (607) 277-2170

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 295692-1 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence DR.0053070 (CO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 208850 (MA)

Record details

NPI number1396954178
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESOctober 1, 2019
Mailing address905 Hanshaw Rd Ste C, Ithaca, NY 14850-1549

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Cayuga Medical Associates Pc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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