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Organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Active
Organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Active
Parent organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Authorized official
BEN H. PARK M.D. (PRESIDENT AND CEO)
(317) 580-6307
Entity
Organization
Contact information
Practice address
6820 PARKDALE PL, SUITE 200, INDIANAPOLIS, IN 46254-6601
(317) 329-7430
(317) 329-7485
Mailing address
6820 PARKDALE PL, SUITE 200, INDIANAPOLIS, IN 46254-6601
(317) 329-7430
(317) 329-7485
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0828280026
DMERC
IN
Enumeration date
06/22/2006
Last updated
01/09/2008
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