Organization
AVICENNA PAIN RELIEF PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUNUS SHAH MD (OWNER)
(270) 982-2714
Entity
Organization
Contact information
Practice address
3044 RING ROAD EAST, ELIZABETHTOWN, KY 42701-7932
(270) 982-2714
(270) 982-2717
Mailing address
3044 RING ROAD EAST, ELIZABETHTOWN, KY 42701-7932
(270) 982-2714
(270) 982-2717
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
KY
208VP0000X
Pain Medicine Physician
Primary
—
KY
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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