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
8333 NAAB RD, ENTRANCE 7, INDIANAPOLIS, IN 46260-5924
(317) 338-9000
Mailing address
18051 RIVER AVE, SUITE 200, NOBLESVILLE, IN 46062-7091
(317) 843-2613
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200303560A
—
IN
Enumeration date
04/19/2007
Last updated
09/16/2008
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