Provider Demographics
NPI:1528219805
Name:DILANGALEN, LEAH ANNETTE GRACE (MD)
Entity Type:Individual
Prefix:
First Name:LEAH ANNETTE
Middle Name:GRACE
Last Name:DILANGALEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:FORBES TOWER, SUITE 9055
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-647-3087
Mailing Address - Fax:412-647-4486
Practice Address - Street 1:2000 MARY ST
Practice Address - Street 2:SUITE 2500
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2054
Practice Address - Country:US
Practice Address - Phone:412-381-2599
Practice Address - Fax:412-381-9282
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD444318207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2679180OtherHIGHMARK BC/BS
PA1026557560001Medicaid
PA1026557560001Medicaid