| NPI | 1346709383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVARDHAN RAJASHEKAR BIRTHI Owner/President 308-675-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2021-02-17 |