# GRAND ISLAND PAIN RELIEF CENTER PC

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

## Provider details

- **NPI number:** 1346709383
- **Authorized official:** PRAVARDHAN RAJASHEKAR BIRTHI MD (OWNER/PRESIDENT)
- **Authorized official phone:** (308) 675-3222

## Contact information

- **Practice address:** 403 LEXINGTON CIR, GRAND ISLAND, NE 68803-9728
- **Practice address phone:** (308) 675-3222
- **Practice address fax:** (308) 675-3234
- **Mailing address:** 403 LEXINGTON CIR, GRAND ISLAND, NE 68803-9728
- **Mailing address phone:** (308) 675-3222
- **Mailing address fax:** (308) 675-3234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 03/19/2019
- **Last updated:** 07/29/2024