Basic Information
| Provider Information | |||||||||
| NPI: | 1841621869 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DAMIANI STRAIN | ||||||||
| FirstName: | LEAH | ||||||||
| MiddleName: | ALBERTA | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD PHD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | DAMIANI | ||||||||
| OtherFirstName: | LEAH | ||||||||
| OtherMiddleName: | ALBERTA | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MD PHD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | PO BOX 746550 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303746550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8882362263 | ||||||||
| FaxNumber: | 4346547582 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 MARTHA JEFFERSON DRIVE | ||||||||
| Address2: | INPATIENT SERVICES | ||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229114668 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4346547580 | ||||||||
| FaxNumber: | 4346547582 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/01/2013 | ||||||||
| LastUpdateDate: | 06/14/2022 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 06/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | DR.0054428 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | MD-45462 | IA | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 31029 | NE | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 0101273455 | VA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.