E TOWN LUNG SPECIALIST PSC NPI 1790797702

NPI Information

NPI: 1790797702
Provider Name: E TOWN LUNG SPECIALIST PSC
Classification: Clinic/Center - 261QM2500X
Specialization: Medical Specialty
Entity Type: Organization
Address: 914 N DIXIE AVE
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 735-9066

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NPI Details

E TOWN LUNG SPECIALIST PSC is a medical specialty clinic center in Elizabethtown, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). E TOWN LUNG SPECIALIST PSC NPI is 1790797702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

914 N DIXIE AVE
ELIZABETHTOWN, KY
ZIP 42701-520
Phone: (270) 735-9066
Fax: (270) 735-9036

The provider's authorized official is Aijaz A Yazdani .
The authorized official title is Medical Doctor and has the following contact phone number (270) 735-9066.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 8/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease			No
2	261QM2500X	Clinic/Center	Medical Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	290014995	OTHER		RAILROAD MEDICARE
2	64328784	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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