Healthcare Provider Details

I. General information

NPI: 1053738344
Provider Name (Legal Business Name): MARGUERITE INDRIATI HOOD PISHCHANY MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGUERITE INDRIATI HOOD

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-7337
  • Fax:
Mailing address:
  • Phone: 617-355-6363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number270621
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number270621
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number2023-01832
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: