Individual
DR. MADHAVI PATNANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M4436
TX
2085R0202X
Diagnostic Radiology Physician
PHY TEMP
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182527501
—
TX
01
—
182527502
CSHCN TPI
TX
Enumeration date
07/01/2006
Last updated
12/14/2020
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