National Provider Identifier Database

MADAIAH REVANA MD PA
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 STE 120 (TESTING)
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 MD PA

NPI Number 1477768141
Legal business name
LBN
MADAIAH REVANA MD PA
Authorized official MADAIAH REVANA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/14/2007
Last updated 02/03/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 359911001
  • TX Other: 10016000 AMERIGROUP
  • TX Other: 82G136 BCBS
  • TX Other: 390396 WELLCARE

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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