Madaiah Revana Md Pa

LBN: Madaiah Revana Md Pa
Madaiah Revana Md Pa is an health care organization with primary practice located at 18955 N Memorial Dr Ste 400 , Humble TX 77338-4264. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy. Allopathic & Osteopathic Physicians / Interventional Cardiology is the primary health care specialty. Madaiah Revana Md Pa can be contacted via phone (281) 446-4638, or through Revana, Madaiah via phone (281) 446-4638.

Contact Information

Primary practice address
18955 N Memorial Dr Ste 400 Humble TX 77338-4264
Fax: (281) 973-9454
Website:
Authorized official contact:
Name: Revana, Madaiah Doctor of Medicine (MD)

Profile Details

NPI number 1477768141
LBN Legal business name Madaiah Revana Md Pa
DBA Doing business as
Authorized official Revana, Madaiah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Aug 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477768141 NPPES
Texas MEDICAID 359911001
Texas Other 10016000
Texas Other 390396
Texas Other 82G136

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