MADAIAH REVANA MD PA NPI 1477768141

NPI Information

  • NPI: 1477768141
  • Provider Name: MADAIAH REVANA MD PA
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Organization
  • Address: 18955 N MEMORIAL DR STE 400
    HUMBLE, TX
    ZIP 77338
  • Phone: (281) 446-4638

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NPI Details

MADAIAH REVANA MD PA is an interventional cardiology internal medicine in Humble, TX. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. MADAIAH REVANA MD PA NPI is 1477768141. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18955 N MEMORIAL DR STE 400
HUMBLE, TX
ZIP 77338-264
Phone: (281) 446-4638
Fax: (281) 973-9454

The provider's authorized official is Madaiah Revana .
The authorized official title is Owner and has the following contact phone number (281) 446-4638.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/11/2022.

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
1207UN0902XNuclear MedicineNuclear Imaging & TherapyNo
2207RI0011XInternal MedicineInterventional CardiologyYes

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
1359911001MEDICAIDTEXAS
210016000OTHERTEXASAMERIGROUP
3390396OTHERTEXASWELLCARE
482G136OTHERTEXASBCBS

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: 3/30/2025

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