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 MD (PRESIDENT AND CEO)
(317) 580-6314
Entity
Organization
Contact information
Practice address
6820 PARKDALE PL, SUITE 105, INDIANAPOLIS, IN 46254-6601
(317) 328-6730
(317) 388-8457
Mailing address
4850 CENTURY PLAZA RD, SUITE 180, INDIANAPOLIS, IN 46254-5476
(317) 328-6730
(317) 388-8457
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
03/21/2007
Last updated
01/08/2008
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