Organization
GRAND ISLAND PAIN RELIEF CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVARDHAN RAJASHEKAR BIRTHI MD (OWNER/PRESIDENT)
(308) 675-3222
Entity
Organization
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
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/19/2019
Last updated
07/29/2024
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