| Madaiah Revana, MD PA | |
|
9816 Memorial Blvd Ste 107, Humble, TX 77338-4205 | |
| (281) 446-4638 | |
| (281) 973-9454 |
| Full Name | Madaiah Revana |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 54 Years |
| Location | 9816 Memorial Blvd Ste 107, Humble, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013997360 | NPI | - | NPPES |
| 390396 | Other | TX | WELLCARE |
| 742018542 | Other | TAX ID | |
| 137528912 | Medicaid | TX | |
| 82G136 | Other | BCBS | |
| 10016000 | Other | TX | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | E7719 (Texas) | Primary |
| 207UN0902X | Nuclear Medicine - Nuclear Imaging & Therapy | E7719 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kingwood Medical Center | Kingwood, TX | Hospital |
| Memorial Hermann Northeast Hospital | Humble, TX | Hospital |
| Entity Name | Madaiah Revana Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477768141 PECOS PAC ID: 1658360094 Enrollment ID: O20040510001562 |
| Mailing Address | Practice Location Address |
|---|---|
| Madaiah Revana, MD PA 9816 Memorial Blvd, Ste 107, Ste 120 (testing), Humble, TX 77338-4264 Ph: (281) 446-4638 | Madaiah Revana, MD PA 9816 Memorial Blvd Ste 107, Humble, TX 77338-4205 Ph: (281) 446-4638 |
Dr. Atul Matta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1702 Fm 1960 Bypass Rd E, Humble, TX 77338 Phone: 281-446-7173 Fax: 281-446-3841 | |
Dr. Parendra P Banker, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 18955 N Memorial Dr, Suite#470, Humble, TX 77338 Phone: 281-446-9000 Fax: 281-446-8194 | |
Dr. Paulraj Samuel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18955 N Memorial Dr Ste 200, Humble, TX 77338 Phone: 281-446-2999 Fax: 281-446-5399 | |
Manali Pednekar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18951 N Memorial Dr Ste 103w, Humble, TX 77338 Phone: 281-540-8409 | |
Dr. Cindy Mary John, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18450 Highway 59 N, Humble, TX 77338 Phone: 281-446-6656 Fax: 281-446-6657 | |
Wilson Sze, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18450 Highway 59 N, Humble, TX 77338 Phone: 281-446-6656 Fax: 281-446-6657 |