# AVICENNA PAIN RELIEF PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982906855
- **Authorized official:** YUNUS SHAH MD (OWNER)
- **Authorized official phone:** (270) 982-2714

## Contact information

- **Practice address:** 3044 RING ROAD EAST, ELIZABETHTOWN, KY 42701-7932
- **Practice address phone:** (270) 982-2714
- **Practice address fax:** (270) 982-2717
- **Mailing address:** 3044 RING ROAD EAST, ELIZABETHTOWN, KY 42701-7932
- **Mailing address phone:** (270) 982-2714
- **Mailing address fax:** (270) 982-2717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | KY | — |
| 208VP0000X | Pain Medicine Physician | — | KY | Yes |

## Other

- **Enumeration date:** 11/29/2010
- **Last updated:** 11/29/2010