Madaiah Revana in Humble - Nuclear Imaging & Therapy
Madaiah Revana - NPI 1013997360
Madaiah Revana is a Nuclear Imaging & Therapy in Humble, Texas. Madaiah Revana practices all healthcare services and medical treatments related to Nuclear Imaging & Therapy. The NPI Number for Madaiah Revana is 1013997360. The last update date is 2022-09-29.
Madaiah Revana's current location address is 18955 N Memorial Dr Ste 400, Humble, Texas. You can contact this provider via phone number 2814464638 and fax number 2814465386. The mailing address for Madaiah Revana is 18955 N Memorial Dr Ste 400, Humble, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Madaiah Revana |
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Address | 18955 N Memorial Dr Ste 400, Humble, Texas |
Phone Number | 2814464638 |
Fax Number | 2814465386 |
Sole Proprietor | Y |
Credentials | MD PA |
NPI Number Detail
NPI Number | 1013997360 |
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Provider Enumeration Date | 2006-01-20 |
Last Updated Date | 2022-09-29 |
Provider Mailing Address Detail
Address | 18955 N Memorial Dr Ste 400 |
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City | Humble |
State | Texas (TX) |
Post Code | 773384264 |
Phone Number | 2814464638 |
Fax Number | 2814465386 |
Provider's Primary Taxonomy Detail
Speciality | Nuclear Imaging & Therapy |
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Taxonomy | 207Un0902X |
Licence No | E7719 |
Definition: A nuclear medicine physician who specializes in nuclear imaging and therapy. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
390396 | TX | WELLCARE | |
742018542 | TAX ID | ||
137528912 | TX | -- | |
82G136 | BCBS | ||
10016000 | TX | AMERIGROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Madaiah Revana by the Centers for Medicare & Medicaid Services?
The Madaiah Revana has been assigned the NPI (National Provider Identifier) 1013997360 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Madaiah Revana located?
The Madaiah Revana is located at 18955 N Memorial Dr Ste 400, Humble, TX 773384264.
What is Madaiah Revana's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Madaiah Revana is Nuclear Imaging & Therapy, and the taxonomy classification code that categorizes this area of expertise is 207Un0902X.
When did Madaiah Revana receive its 1013997360 assignment?
The Madaiah Revana was assigned its 1013997360 on 2006-01-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Madaiah Revana, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Madaiah Revana, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-09-29.