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Contact Information

MADAIAH REVANA MD PA
9816 MEMORIAL BLVD
STE 107 STE 120 (TESTING)
HUMBLE, TX77338-4205
 Phone: 281-446-4638
 Fax: 281-973-9454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for MADAIAH REVANA MD PA · (Female)

NPI Number 1477768141
Status Active
Credentials
Entity Individual
Enumeration date 05/14/2007
Last updated 02/03/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 359911001
  • TX Other 10016000 AMERIGROUP
  • TX Other 82G136 BCBS
  • TX Other 390396 WELLCARE
Hospital affiliation(s) Not Available
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.

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