Individual
PRAVARDHAN RAJASHEKAR BIRTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
403 LEXINGTON CIR, GRAND ISLAND, NE 68803-9728
(308) 675-3222
(308) 675-3234
Mailing address
403 LEXINGTON CIR, GRAND ISLAND, NE 68803-9728
(308) 675-3222
(308) 675-3234
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
27075
NE
Other
Enumeration date
11/04/2008
Last updated
06/21/2019
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