Provider Demographics
NPI:1922095819
Name:HOOD, DANIEL L (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:HOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 20452
Mailing Address - Street 2:VPI - CRED
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-0452
Mailing Address - Country:US
Mailing Address - Phone:614-442-2406
Mailing Address - Fax:614-442-2410
Practice Address - Street 1:ONE WYOMING STREET
Practice Address - Street 2:PATHOLOGY DEPT.
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2793
Practice Address - Country:US
Practice Address - Phone:937-208-3588
Practice Address - Fax:937-208-6137
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35059428207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0795608Medicaid
HO0674253Medicare PIN
E76466Medicare UPIN
OH0795608Medicaid