Avicenna Pain Relief PLLC
Organization Active NPI Pain Medicine Physician · Elizabethtown, KY
NPI 1982906855 · NPPES record last updated Nov 29, 2010
Key facts
- NPI
- 1982906855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Yunus Shah, MD
- Title
- Owner
- Phone
- (270) 982-2714
National Provider Directory
Locations
3044 Ring Rd
Elizabethtown, KY 42701
Phone (270) 506-3853
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | KY | ||
| Pain Medicine Physician |
208VP0000X | KY | Yes |
Addresses
Primary practice location
3044 Ring Road East
Elizabethtown, KY 42701-7932
Mailing address
3044 Ring Road East
Elizabethtown, KY 42701-7932
Phone (270) 982-2714
Other providers in Elizabethtown, KY
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- Sandra L Aubrey
- Jeffrey Austin
- Sperlisha Victoria Ayeni
- Maria Catherine Backes
- Anesh V Badiwala
- Hiral Patel Badiwala
- Bisma Baig
All providers in Elizabethtown, KY · Pain Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.