Avicenna Pain Relief PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

AVICENNA PAIN RELIEF PLLC

Practice address

3044 Ring Road East
Elizabethtown, KY 42701-7932

Phone

(270) 982-2714

Fax

(270) 982-2717

NPI assigned

Nov 29, 2010

Last updated

Nov 29, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yunus Shah, MDNPI 1376595892

Title

Owner

Phone

(270) 982-2714

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yunus M. Shah, MD

  • Pain Medicine (Anesthesiology) Physician
  • Corydon, IN
  • NPI 1376595892
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1982906855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 RING ROAD EAST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017932",
            "telephone_number": "270-982-2714",
            "fax_number": "270-982-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 RING ROAD EAST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017932",
            "telephone_number": "270-982-2714",
            "fax_number": "270-982-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNA PAIN RELIEF PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "YUNUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-982-2714",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astra Virtual Care (astracares.com)
• William Barrett Atchley
• Atria Senior Living Group, Inc (Elizabethtown)
• Sandra L Aubrey, APRN
• Jeffrey Austin, MD
• Sperlisha Victoria Ayeni
• Maria Catherine Backes, ATC
• Anesh V Badiwala, M.D.
• Hiral Patel Badiwala, O.D.
• Bisma Baig

• Pain Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Pain Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.