# 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:** 1902850837
- **Legal business name:** AMERICAN HEALTH NETWORK OF INDIANA, LLC
- **Authorized official:** BEN H PARK I MD (PRESIDENT AND CEO)
- **Authorized official phone:** (317) 580-6309

## Contact information

- **Practice address:** 5250 E US HIGHWAY 36, SUITE 610, AVON, IN 46123-7877
- **Practice address phone:** (317) 745-5403
- **Practice address fax:** (317) 718-2180
- **Mailing address:** 5250 EAST US HIGHWAY 36, SUITE 610, AVON, IN 46123-7877
- **Mailing address phone:** (317) 745-5403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | — |
| 2085N0904X | Nuclear Radiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 02/15/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100133190A | — | IN |