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Madaiah Revana, MDPA
Interventional Cardiology Physician in Humble, Texas
NPI 1013997360

Madaiah Revana is a Interventional Cardiology Physician based in Humble, TX and is specialized in Interventional Cardiology. Madaiah Revana practices in Humble, TX and has the professional credentials of MDPA. The NPI Number for Madaiah Revana is 1013997360 and holds a License No. E7719 (Texas).

The current practice location address for Madaiah Revana is 9950 Memorial Blvd, Humble, TX and can be reached out via phone at 281-446-4638 and via fax at 281-446-5386. You can also correspond with Madaiah Revana through the mailing address at 18955 N MEMORIAL DR STE 400, HUMBLE, TX - 77338-4264 (mailing address contact number: 281-446-4638).

Location: 9950 Memorial Blvd, Humble, TX, 77338-4264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013997360
Provider Name
Madaiah Revana
Credential
MDPA
Provider Entity Type
Individual
Gender
Male
Address
9950 Memorial Blvd, Humble, TX, 77338-4264
Phone Number
281-446-4638
Fax Number
281-446-5386
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390396 01 TX WELLCARE
742018542 01 TAX ID
137528912 05 TX
82G136 01 BCBS
10016000 01 TX AMERIGROUP
institution
Provider Business Practice Location Address Details
Address
9950 Memorial Blvd
City
Humble
State
Texas
Zip
77338
Phone Number
281-446-4638
Fax Number
281-446-5386
person
Provider Business Mailing Address Details
Address
9950 Memorial Blvd
City
Humble
State
Texas
Zip
77338
Phone Number
281-446-4638
Fax Number
281-446-5386
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
E7719 (Texas)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Imaging & Therapy
Taxonomy
207UN0902X
License No.
E7719 (Texas)
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
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