# AMERICAN HEALTH NETWORK OF INDIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMERICAN HEALTH NETWORK OF INDIANA, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760635403
- **Legal business name:** AMERICAN HEALTH NETWORK OF INDIANA, LLC
- **Authorized official:** BEN H PARK MD (PRESIDENT AND CEO)
- **Authorized official phone:** (317) 580-6314

## Contact information

- **Practice address:** 1115 RONALD REAGAN PKWY, SUITE 360, AVON, IN 46123-6910
- **Practice address phone:** (317) 272-7013
- **Mailing address:** 4850 CENTURY PLAZA RD, SUITE 180, INDIANAPOLIS, IN 46254-5476
- **Mailing address phone:** (317) 291-0184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 10/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100216850J | — | IN |