Madaiah Revana Md Pa in Humble - Nuclear Imaging & Therapy
Madaiah Revana Md Pa - NPI 1477768141
Madaiah Revana Md Pa is a Nuclear Imaging & Therapy in Humble, Texas. Madaiah Revana Md Pa practices all healthcare services and medical treatments related to Nuclear Imaging & Therapy. The NPI Number for Madaiah Revana Md Pa is 1477768141. The last update date is 2022-08-11.
Madaiah Revana Md Pa'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 2819739454. The mailing address for Madaiah Revana Md Pa is 18955 N Memorial Dr Ste 400, Humble, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Madaiah Revana Md Pa |
|---|---|
| Address | 18955 N Memorial Dr Ste 400, Humble, Texas |
| Phone Number | 2814464638 |
| Fax Number | 2819739454 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Revana Madaiah |
| Credentials | MD |
| Telephone Number | 2814464638 |
NPI Number Detail
| NPI Number | 1477768141 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2022-08-11 |
Provider Mailing Address Detail
| Address | 18955 N Memorial Dr Ste 400 |
|---|---|
| City | Humble |
| State | Texas (TX) |
| Post Code | 773384264 |
| Phone Number | 2814464638 |
| Fax Number | 2819739454 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Imaging & Therapy |
|---|---|
| Taxonomy | 207Un0902X |
|
Definition: A nuclear medicine physician who specializes in nuclear imaging and therapy. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 359911001 | TX | -- | |
| 10016000 | TX | AMERIGROUP | |
| 390396 | TX | WELLCARE | |
| 82G136 | TX | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Madaiah Revana Md Pa by the Centers for Medicare & Medicaid Services?
The Madaiah Revana Md Pa has been assigned the NPI (National Provider Identifier) 1477768141. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Madaiah Revana Md Pa is geographically located?
The Madaiah Revana Md Pa is physically situated at the following location: 18955 N Memorial Dr Ste 400, Humble, TX, 773384264.
What is Madaiah Revana Md Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Madaiah Revana Md Pa is Nuclear Imaging & Therapy, and the taxonomy code that classifies this field of practice is 207Un0902X.
When did the Madaiah Revana Md Pa receive its 1477768141?
The Madaiah Revana Md Pa was issued its 1477768141 on 2007-05-14, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Madaiah Revana Md Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Madaiah Revana Md Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-08-11.