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Organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Active
Organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN H PARK MD (CEO)
(317) 580-6303
Entity
Organization
Contact information
Practice address
10689 N PENNSYLVANIA ST STE 200, INDIANAPOLIS, IN 46280-1099
(317) 580-6305
Mailing address
10689 N PENNSYLVANIA ST STE 200, INDIANAPOLIS, IN 46280-1099
(317) 580-6305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
NULL
207ZC0006X
Clinical Pathology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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