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Madaiah Revana Md Pa
Nuclear Imaging & Therapy Physician in Humble, Texas
NPI 1477768141

Madaiah Revana Md Pa is a Nuclear Imaging & Therapy Physician based in Humble, TX and is specialized in Nuclear Imaging & Therapy. Madaiah Revana Md Pa practices in Humble, TX. The NPI Number for Madaiah Revana Md Pa is 1477768141 and holds a License No. (Texas).

The current practice location address for Madaiah Revana Md Pa is 18955 N Memorial Dr Ste 400, Humble, TX and can be reached out via phone at 281-446-4638 and via fax at 281-973-9454.

Location: 18955 N Memorial Dr Ste 400, Humble, TX, 77338-4264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477768141
Provider Name
Madaiah Revana Md Pa
Credential
Provider Entity Type
Organization
Address
18955 N Memorial Dr Ste 400, Humble, TX, 77338-4264
Phone Number
281-446-4638
Fax Number
281-973-9454
Provider Enumeration Date
05/14/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
359911001 05 TX
10016000 01 TX AMERIGROUP
390396 01 TX WELLCARE
82G136 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
18955 N Memorial Dr Ste 400
City
Humble
State
Texas
Zip
77338-4264
Phone Number
281-446-4638
Fax Number
281-973-9454
person
Provider Business Mailing Address Details
Address
18955 N Memorial Dr Ste 400
City
Humble
State
Texas
Zip
77338-4264
Phone Number
281-446-4638
Fax Number
281-973-9454
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
()
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.
()
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
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