NPI age
20 years
Enumerated 2006-01-20
● Active
Type 1 · Individual
Madaiah Revana, MD PA
Revana is 1 of 25 internal medicine providers in Humble and 1 of 883 in Texas.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 883 active internal medicine providers in Texas.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
1
In the 72% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Practice location
9816 Memorial Blvd Ste 107
Humble, TX 773384205
Mailing address
9816 Memorial Blvd, Ste 107, Ste 120 (testing)
Humble, TX 773384264
Specialties
-
Internal Medicine PrimaryAn area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
-
Nuclear MedicineA nuclear medicine physician who specializes in nuclear imaging and therapy.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 390396 | WELLCARE |
| 01 | 742018542 | TAX ID |
| 05 (TX) | 137528912 | |
| 01 | 82G136 | BCBS |
| 01 (TX) | 10016000 | AMERIGROUP |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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