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Contact Information

E TOWN LUNG SPECIALIST PSC
914 N DIXIE AVE
ELIZABETHTOWN, KY42701-2520
 Phone: 270-735-9066
 Fax: 270-735-9036
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for E TOWN LUNG SPECIALIST PSC

NPI # 1790797702
LBN Legal business name E TOWN LUNG SPECIALIST PSC
Authorized official AIJAZ YAZDANI - (MEDICAL DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2006
Last updated 08/11/2025 - About 10 months ago
Identifiers
KY Medicaid 64328784
Other 290014995 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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