National Provider Identifier Database

MADAIAH REVANA, MD PA – NPI #1013997360
Interventional Cardiology

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.


Contact Information

MADAIAH REVANA, MD PA
9816 MEMORIAL BLVD STE 107
HUMBLE, TX77338-4205
Phone: 281-446-4638
Fax: 281-973-9454
Website:
Specialty Taxonomy Code
* Interventional Cardiology 207RI0011X
Nuclear Imaging & Therapy 207UN0902X

* Indicates primary specialty

NPI Profile & details for MADAIAH REVANA

NPI Number 1013997360
Credentials MD PA
Entity Individual
Enumeration date 01/20/2006
Last updated 02/03/2026 - About 4 months ago
Sole proprietor1 Yes
Identifiers
  • TX License #: E7719
  • TX Medicaid: 137528912
  • Other: 82G136 BCBS
  • Other: 742018542 TAX ID
  • TX Other: 10016000 AMERIGROUP
  • TX Other: 390396 WELLCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MADAIAH REVANA, MD PA

There are currently no reviews for MADAIAH REVANA, MD PA


NPIdb - Home
v2.201