Organization
MADAIAH REVANA MD PA
Active
Other names
Madaiah Revana MD, Humble Cardiology Associates & Pacemaker Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MADAIAH REVANA MD (OWNER)
(281) 446-4638
Entity
Organization
Contact information
Practice address
9816 MEMORIAL BLVD, STE 107 STE 120 (TESTING), HUMBLE, TX 77338-4205
(281) 446-4638
(281) 973-9454
Mailing address
9816 MEMORIAL BLVD STE 107, SUITE 120 (TESTING), HUMBLE, TX 77338-4205
(281) 446-4638
(281) 973-9454
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10016000
AMERIGROUP
TX
05
—
359911001
—
TX
01
—
390396
WELLCARE
TX
01
—
82G136
BCBS
TX
Enumeration date
05/14/2007
Last updated
02/03/2026
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